Application for On-Site Performance or Special Event Request

Please supply the information requested below.

You will be notified of the disposition of the application and the necessary steps to secure final approval for performance or event.

Note: Additional fees may be charged for the actual event and you may be required to provide proof of liability insurance.

Applicant Name

Organization Name

Tax ID #

Street/Address

City/State/Zip

Telephone #

Cell phone #

Fax #

E-mail

Activity is
Performance
Observance
Other event (please specify)

Description of Proposed Activity

If musical performance, please list song selection

How does your activity relate to the mission and purpose for which the Memorial was established?

Requested Location

Date(s)

Time(s)

Event set up will begin

Event will begin

Event will end

Removal will be done

Maximum Number of Participants

Maximum Number of Vehicles

Limited Support Equipment available at additional charge. What equipment will you require?
Small sound system w/speakers
Microphone
Chairs (limit 50)
Podium
None, we will bring our own
None, we do not require equipment

Support Personnel (contractors or providers, etc., include addresses and telephones)

Individual in charge of event on site
Name

Address

Phone #

Fax #

Are you familiar with or have you visited requested area?
Yes No
Do you plan to advertise or issue a press release?
Yes No
Will you distribute printed material?
Yes No
Is there any reason to believe there will be attempts to disrupt, protest or prevent your event?
Yes No (if yes, explain)

The applicant by his or her signature certifies that all the information given is complete and correct, and that no false or misleading information or false statements have been given.

Type your full name:
Date

Information provided will be used to determine whether aproval will be issued.

You may contact the Special Use Coordinator via telephone at 405.235.3313. Note that this is an application only, and does not serve as permission to conduct a performance, a filming project or any other use of the Memorial. If your request is approved, a contract containing applicable conditions and regulations will be sent to the person designated on the application. The contract must be signed and returned to the Memorial prior to the event.