DATE OF ACTIVITY ______ START TIME ______ FINISH TIME ______ ... the route / location of the parade or assembly for whic
DOTHAN POLICE DEPARTMENT PARADE/ASSEMBLY PERMIT REQUEST REQUEST MUST BE SENT TWO WEEKS IN ADVANCE. Please type or print legibly NAME/ TYPE OF ACTIVITY _____________________________________________ Estimated Attendance _______________________________________________ DATE OF ACTIVITY ________ START TIME _______ FINISH TIME __________ Entertainment District Request _____ YES _____ NO SPONSORING ORGANIZATION ___________________________________________ ADDRESS _______________________________ Phone # _______________________ Insurance Documentation _____ YES _____ NO (if Entertainment District) HEAD OF ORGANIZATION _______________________________________________ ADDRESS _______________________________________________ Phone # _______________________ ACTIVITY CHAIRPERSON _______________________________________________ ADDRESS ______________________________ Phone # ________________________ Expected assembly time prior to start of activity _________________________________ Will parade/assembly occupy parts of streets listed? ____ YES ____ NO If YES, list street(s) and number of lanes to be used ______________________________ ________________________________________________________________________ ________________________________________________________________________ Number of Units in Parade ________________________ Describe in detail the route / location of the parade or assembly for which this permit is requested. Include all needed assembly areas. (Attach map and additional sheets if needed.)_________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Will any business or residence be impacted by closer? ___ YES ___ NO. If yes, a letter of agreement will need to be attached by each individual business or residence. PERMIT APPLIED FOR BY________________________________________________________________________ ADDRESS__________________________________________________________Phone # __________________________ POSITION WITH SPONSORING ORGANIZATION__________________________________________ SIGNATURE __________________________________________________________________________________________ DATE____________________________________________________________________________________________________ ________________________________________________________________________ DO NOT WRITE IN THIS BLOCK
