Special Event Licence Application Form
Name of Organisation
*
Authorised Contact Name
*
Authorised Telephone Number with STD Code eg. 0151
*
Location Requested
Please Select
o/s 9 - 11 Chapel Lane Formby
o/s 13 - 15 Chapel Lane Formby
o/s 23 - 25 Chapel Lane Formby
The Magdalene Square
Lord Street Southport
Central Square Maghull
New Strand Bootle
Crosby Village
The Marian Square
Eastbank Street Square
Other
Date Requested (dd/mm/yy)
*
Duration of Event
*
Type of Event (ie. Bookstall, Health Promotion, Celebration)
Public Liability Insurance
Yes
No
A charge of 50 pounds is normally levied for provision of a licence
Sefton Council is a registered Data Controller under the Data Protection Act 1998 and as such, any details that you supply on this form will be treated in confidence and only used in accordance with the Data Protection Act 1998.
*
This indicates mandatory fields