AH Police Special Events Form
Name
Email
Name of event
Location of event
Date(s) of event
Event start time
Event end time
Setup time
Take down time
Type of event
Estimated attendance
Event description
Name of committee or organization
Name of contact person
Email address of contact person
Will equipment be set up/used?
Yes
No
If yes, what type?
Do you anticipate loud noise?
Yes
No
Will there be outside vendors?
Yes
No
If yes, what type?
Will alcohol be present?
Yes
No
If yes, has proper insurance been secured?
Yes
No
Are non-residents able to attend?
Yes
No
Please indicate the type of assistance requested (check all that apply)
Traffic control for parking
Police vehicle escort
General police presence
Only cones are needed
Consultation needed
Any other comments
** If you are requesting a police escort for your event, please attach a planned route **
AHPD USE ONLY:
Date received
Reviewed by
Request approved
Yes
No
Optional Attachments
Maximum File Sizes: 4 MB each
