Public-Facing Event Request Proposed Date of Event * MM DD YYYY Backup Date (If applicable) MM DD YYYY Proposed Start Time * Hour Minute Second AM PM Proposed End Time * All events must end before 8pm or dusk, whichever is earlier Hour Minute Second AM PM Location * Liberty Lands Community Center The Yard Community Center & The Yard Event Name * Name that will go on the public calendar Event Description * Anticipated Community Benefits * Anticipated Number of Attendees Target Audience * All Ages Kid-focused Requesting Use of Amplification? * Yes No Utilities Required? Electric Stage Water Are any third parties supporting this event? If Yes please describe. Does Event Owner Have Liability Event Insurance? * Yes No Event Owner * First Name Last Name Event Owner Email * Event Owner Phone * (###) ### #### Community Sponsor (if different than event owner) If you and/or your organization are outside of the neighborhood we ask you to have a local community sponsor Community Sponsor Email * Thank you!