Organized Event Notification Form

of Participants Date(s)

(*Purpose: This form provides notification of an upcoming organized event that does not require permits as regulated by City Ordinances. This is for the Powell Police Department as information only.)

Event Title

Sponsor/ Organization

Date(s) of Events

Location or Route

Time and Duration of event

Type of Event

*Please attach map if applicable.

Contact Information

Primary Contact Name

First

Last

Primary Contact Email

Primary Contact Phone

Event Logistics

Anticipated # of Participants

Description of Activities (e.g. Run, Walk, Bike, etc.)

Signature

Clear Signature

By signing and submitting this form, the event sponsor/organizer confirms that the information provided is accurate and agrees to comply with all applicable local laws and ordinances. They also acknowledge they will not need street closures, traffic control, or barrel set-up for the event.

Date