LICENSE APPLICATION

Concerts & Events Permit

Please fill out all relevant fields in the application form below.

Select License Type

Full Name

Phone Number

Postal/Mailing Address Organization Name (if applicable)

Purpose / Justification

Facility Information

Application Date * Promoter * Promoter Address * Telephone # * Email Address * Event Type * e.g., Concert, Dance, Karaoke Night, Stage Play Venue * Capacity of Area (Dancing/Seating) * Total number of persons that can be accommodated Date of Function * Title of Function *

Additional Information

Early Bird - Admission Price Early Bird - Quantity Early Bird - Ticket Type

Semi Inclusive All Inclusive

Regular - Admission Price Regular - Quantity Regular - Ticket Type

Semi Inclusive All Inclusive

VIP - Admission Price VIP - Quantity VIP - Ticket Type

Semi Inclusive All Inclusive

Complimentary - Quantity Expenditure (if no gate receipts) Total cost of putting on the event. Required if there are no ticket/gate receipts. Music for this event will be provided by *

DJ Live Performers

Select all that apply Name(s) of Live Performer(s) Required if Live Performers is selected above

Documents

Documentary Evidence Upload any documentary evidence in support of your application (e.g., event contract, venue agreement, ticket samples)

Ownership Details

Function of Applicant * e.g., Promoter, Director, Financial Controller Name of Applicant * Please use CAPITAL LETTERS

I apply for this license.

I understand that this application will be reviewed and that the information provided is accurate.

I hereby agree and certify that the information provided is accurate

Thank you! Your submission has been received!

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Concerts & Events Permit

Facility Information

Additional Information

Documents

Ownership Details

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