Form Center

2. Guidelines
   Effective April 2, 2021, occupancy of inperson and catered events increases to the lesser of 75% for a particular area as set by the certificate of occupancy, or 150 people indoors or 500 people outdoors, exclusive of employees and event staff. Responsible Parties must submit event details to the local health authority, at least 5 days in advance of the event date, and such details shall include but not be limited to the information contained in this form.
4. Events may be subject to inspection by local health authorities to ensure compliance with all provisions of the guidance.
8. RESPONSIBLE PARTY CONTACT INFORMATION
10. Reponsible Party Name*
12. Responsible Party Address*
14. Address 2
16. City*
17. State*
18. Zip*
22. EVENT INFORMATION
24. Event Name or Function*
26. Event Address 1*
28. Address 2
30. City*
31. State*
32. Zip*
34. Event Start Date and Time*
    Event Start Date and Time

    Event Start Date and Time
    Include time for setup (unloading, etc)
35. Event End Date and Time*
    Event End Date and Time

    Event End Date and Time
    Include time for cleanup (loading, etc)
37. Responsible Parties must limit occupancy of in-person and catered events to the lesser of: 50% for a particular area as set by the certificate of occupancy, or 150 people, exclusive of employees and event staff.
39. Expected Number of Attendees*
40. Expected Number of Event Staff*
42. Location on Premises*

    1. Indoors
    2. Outdoors
43. Location Extended Description
    Please provide additional details, if needed.
Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field