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Village of Gowanda Event Application
Please be advised the Village cannot reserve parking spaces or restrict other people’s activities in
the park unless the activities are illegal. Our parks are open for public use.
Name of Event: Alawoted Pagh
Type of Activity: Helloween Aanated walt
Location of Event (Facilities Requested):_Cfe
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Date of Event: _/§- 3)- a¢ Time of Event (start/end): Pe
Organization Name:__Geyegoada —$SV er 4 dber beat Wath
Address: _(naiapipmiegy Gawanta MWY )4o 78
Contact Persoti: Co iten c tap feefin
Address: 1 mechance $+ Gowanda uwoe¢ i4a7de
Phone Number: eas Cell Phone:
Name of person responsible for organization or group: Ca dicen S ta 7) lefton
Name of person and contact information of individual who will be in attendance at
event: __Aprs | Braa dschuh
0-25 Attendees Anticipated ($25 Security Deposit Required)
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25- 100 Attendees Anticipated ($100 Security Deposit Required) __/ 0 6 “oo
100+ Attendees Anticipated ($250 Security Deposit Required) ~
Events for over 5,000 people need DOT permit (please attach): .
« Request for Street Closings (closing and re-opening) - attach separate sheet
¢ Detailed Map of Event Area (include vendors, staging, show area, etc.) - attach
separate sheet
List of any special equipment to be borrowed from village: _ / rw Ads U~pay
First Aid Provisions: £27sf acd kits
Restroom Provisions (required for 25+ capacity):
Trash Provisions: (required for 25+ capacity): {east f £98 attached +9
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