Form Center

2. Department of Public Affairs
   P.O. Box 219
   St. Augustine, FL 32085-0210
   
   Phone:904-825-1004
   Fax: 904-825-1096
   Email the Events Division
   

   Visit Our Website
4. Event Date & Site
6. Name of Event
8. Number of Years the Event Has Been Held
9. Attendance Expected
10. Attendance Last Year
12. Event Date(s)
    Event Date(s) Start Date

    Event Date(s) Start Time

    —

    Event Date(s) End Date

    Event Date(s) End Time
14. Set-Up Date(s)
    Set-Up Date(s) Start Date

    —

    Set-Up Date(s) End Date
15. Tear Down Date(s)
    Tear Down Date(s) Start Date

    —

    Tear Down Date(s) End Date
19. Venue:

    1. Francis Field
    2. The Gazebo / Plaza de le Constitucion
    3. The Lightner Courtyard
    4. The St. Augustine Municipal Marina
    5. The Visitor Information Center (VIC) / The Promenade / The Fountain
    6. The Willie Galimore Center
21. Identify the Affected Rights of Way
25. Event Producer / Organizer
27. Organization Producing the Event
29. Address
31. City
32. State
33. Zip Code
35. Contact Person
    (Contact person must be on-site during the event.)
36. Title
38. Office Phone Number
39. Mobile Phone Number
41. Email Address
42. Fax
44. Website
46. Insurance Provider
50. Event Profile Brief
52. Describe the event's activities (i.e. booths. music, games, cooking on-site, beer, wine, etc.). Include a site plan.
54. Site Plan
56. Describe support services expected of the City of St. Augustine (i.e. solid waste, water, electrical, security, etc.).
60. Unified Operations Plan
62. Name of the Event
64. Location
    (If the location is a right-of-way, attach a specific route/area of the event.)
66. Specific Route
68. Date(s) / Hours
    Date(s) / Hours Start Date

    Date(s) / Hours Start Time

    —

    Date(s) / Hours End Date

    Date(s) / Hours End Time
    (including move-in, move-out dates)
70. On-Site Primary Contact
72. Name
74. Office Phone Number
75. Home Phone Number
77. Mobile Phone Number
78. Email Address
80. Description of the Event
82. Documents, Permits & Forms Required by the Event & Status
84. Special Responsibilities / Obligations of Event Organizer
Leave This Blank:


86. 1. Receive an email copy of this form.
87. Email address

    This field is not part of the form submission.

88. Submit

* indicates a required field