This form is a supplementary document required to be included with every Special Event application submitted to the Town of Fountain Hills for review. This form will not be accepted or considered administratively complete unless an appropriate response is entered for each blank field below.

Section 1: Event Summary

Section II: Required Health and Safety Measures

Complete the following section by reading each statement and initialing your acknowledgement and agreement below.

Section III: Event Specific Health Protocols

Complete the following section by reading and initialing your agreement to the below statement and providing the requested information.

Section IV: Signature and Certification

I hereby certify that all answers and information provided on this form are true and correct. Any false, misleading, or incomplete information constitutes grounds for denial of my Special Event application.
Signature *