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2. Please complete and return this form along with your application. Completion of this form will publicize your event that has been submitted to the Special Events Advisory Committee and assist others to avoid your date and/or site. Your event will be posted after approved by the S.E.A.C.
   Contact Information
   Department Director: Nicole Drye
   Location: Room 226
   Phone: 716-851-6508
4. Name of Event
6. Purpose of Event
8. Sponsoring Organization
10. Location of Event Address
12. City
13. State
14. Zip Code
16. Number of participants expected
18. Date(s) of Event
20. Date Start Time - Close Time
    Date Start Time - Close Time Start Date

    Date Start Time - Close Time Start Time

    —

    Date Start Time - Close Time End Date

    Date Start Time - Close Time End Time
22. Date Start Time - Close Time
    Date Start Time - Close Time Start Date

    Date Start Time - Close Time Start Time

    —

    Date Start Time - Close Time End Date

    Date Start Time - Close Time End Time
24. Date Start Time - Close Time
    Date Start Time - Close Time Start Date

    Date Start Time - Close Time Start Time

    —

    Date Start Time - Close Time End Date

    Date Start Time - Close Time End Time
26. Date Start Time - Close Time
    Date Start Time - Close Time Start Date

    Date Start Time - Close Time Start Time

    —

    Date Start Time - Close Time End Date

    Date Start Time - Close Time End Time
28. Contact Person First Name
29. Contact Person Last Name
31. Phone Number
32. Fax Number
34. Email Address
36. Comments
38. Applicant E-Signature*
    I understand and agree completion of this application gives permission to the City of Buffalo to publicize the above event information on the City of Buffalo website.
39. Date
    Date
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field