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2. GRAND COUNTY SPECIAL EVENT INTENT TO APPLY

   All Grand County Permittees and Special Events shall comply with the Grand County Special Events Ordinance (Chapter 8.16 of the General County Ordinances) in effect at the time of the Special Event.

4. APPLICANT INFORMATION
6. First Name*
7. Last Name*
8. Business or Organization:*
10. Address1*
11. Address2
13. City*
14. State*
15. Zip*
17. Primary Phone*
18. Secondary Phone
19. Email Address*
20. Best way to contact you*

    1. Phone
    2. Email
22. EVENT DETAILS
24. Event Name:*
25. Have you held a GC SE permit in the past?*

    1. Yes
    2. No
26. For how many years have you held a permit?*
28. Is the point of contact for the event the same as the applicant?*

    1. Yes

    1. No
29. Is the point of contact the same for the entire event?*

    1. Yes

    1. No
31. Please give the name, address, phone number, and e-mail address for every on-site contact person. If the contact person if different on different days, indicate which day(s) each person will be the on-site contact.*
33. How Many Days is the Event Total?*

    Event setup or participant registration or pick-up ahead of the event shall count as an additional day. 

34. Are Dates Consecutive?*

    1. Yes
    2. No
36. Event Setup*
    Event Setup

    Event Setup
37. Event Start*
    Event Start

    Event Start
38. Event End*
    Event End

    Event End
39. Clean-up Completed*
    Clean-up Completed

    Clean-up Completed
41. Event Type (Check All that Apply)*

    1. Athletic
    2. Carnival/Circus/Fair
    3. Motorized

    1. Charity Walk/Run
    2. Exhibit/Festival
    3. Parade

    1. Reception
    2. Livestock
    3. Religious

    1. Tournament/Competition
    2. Other
43. Other (Please Describe)*
45. Event Narrative*
47. Check All that Apply to Your Event*

    1. Road Closure
    2. Residential Impact (Traffic, Trails, Noise, Etc.)
    3. Amplified Sound
    4. Alcohol Served
    5. Additional Permits Required (BLM, SITLA, NFS, etc.)

    1. Motorized Event
    2. Stage or Temporary Structures
    3. Food Service
    4. Vendors
    5. Live Entertainment
49. Description of Live Entertainment*
51. Description of the benefit(s) your event adds to the community (optional but encouraged)
53. Location of Event (Select All that Apply)*

    1. Private Property
    2. OSTA

    1. BLM
    2. SITLA

    1. National Forest (NFS)
    2. National/State Park

    1. City of Moab
    2. Other
55. Other (Please Describe)*
57. Location Description including address(es) and any trails and/or roads used. If multiple locations are used, give the distance between them.*
59. Give the name, address, telephone number, and email address of property owner(s) for each proposed event location.*
61. Total Daily Attendance*
62. Maximum Registrants*
63. Number of Event Staff*
64. Number of Spectators *
66. Number of Volunteers*
67. Other Attendees*
68. Number of Vendors*
69. Number of Vehicles*
71. List of initial vendors including name, contact information, email, and a list of products. If vendor is not providing products, please indicate what they are providing.*
73. Do you have an SRP (or equivalent) from a state or local government?*

    1. Yes
    2. No
74. Please indicate the type of SRP(s) and the issuing entity.*
76. Applicant Certification*

    1. By checking this box and typing my name below, I am electronically signing my application.

    I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.

    I certify that all information contained in this Intent to Apply is true and correct.  I certify that I am authorized by the organization named herein to act as its agent for the herein-described activity.  I certify that I have read and agree to comply with the Grand County Special Events Ordinance.

78. First Name*
79. Last Name*
80. Date*
    Date
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit Submit and Print

* indicates a required field