Special Use Permit

2. 

4. Thank you for expressing an interest in holding an event at one of our facilities. Your initial inquiry was unique enough to require a written request. This Special Use Permit will allow us to review your needs, what requirements we may have, and to determine what costs or fees may apply to your request.

6. The following are minimal kinds of information we need to process your request. If there is other information, please include it. Please continue your responses on additional pages as necessary.

8. First Name*

9. Last Name*

10. Organization or Group Name

12. Address *

13. City*

14. Zipcode*

16. Phone Number*

17. Email*

21. Name of facility/site you want to use*

22. Event Date(s)*

24. Start Time

    Please include setup

25. End Time

    Please include cleanup

26. Number of participants

27. Number of Specatators

31. Area(s)/Building(s)/Room(s)/Equipment Requested:

33. Type of activities event will include:

35. Is sound amplification planned? *

    1. Yes
    2. No

36. If yes, please explain:

38. Sale of food, merchandise, or services planned?*

    1. Yes
    2. No

39. If yes, please explain:

41. Fundraising activities planned?*

    1. Yes
    2. No

42. If yes, please explain:

44. Providing food for event?*

    1. Yes
    2. No

45. If yes, please explain:

47. Posting signs, billboards, advertising, etc. planned?*

    1. Yes
    2. No

48. If yes, please explain:

50. Digging, altering, staking, etc. of any existing facility planned?

    1. Yes
    2. No

51. If yes, please explain:

53. Will you use the facilities for commercial purposes of any kind?

    1. Yes
    2. No

54. If yes, please explain:

56. Will any animals be brought to the site?

    1. Yes
    2. No

57. If yes, please explain:

59. Alcohol is not allowed in Pierce County facilities, except in certain building locations and only with written permission from the Director of Parks. Is possession or consumption of alcohol being considered as part of your event?

    1. Yes
    2. No

60. If yes, please explain:

62. If required, will you provide security for your event?

    1. Yes
    2. No

63. If yes, please explain:

65. What precautions will you take to protect facility from damage (i.e. gym floors, walls, etc.)?

67. Do you need any special accommodations (ADA)?

    1. Yes
    2. No

68. If yes, please explain.

70. Additional information:

74. Note:*

    1. I understand this application is only a request and does not guarantee a reservation. All applications will be processed in the order received.

Leave This Blank:


76. 1. Receive an email copy of this form.
77. Email address

    This field is not part of the form submission.

78. Submit

* indicates a required field