This form will take approximately 5 minutes to complete.Please allow yourself enough time to complete this form in one session as there is not an option to save and come back to it later. The questions marked with an asterisk (*) are mandatory and require an answer. You do not have to answer all of the other questions, but it would help us if you do. Please read the terms and conditions before applying. You will need to attach evidence of your public liability insurance to this form by uploading it from the device you are using (such as computer, tablet). Your details Title Select your title. Mr Mrs Miss Ms Dr Other Other Enter your title if it is not listed above. First name * Enter your first name. Last name * Enter your last name. House name/number * Enter the address name or number. This could a flat, house or building name or number. Address line 1 * Enter the first line of the address. This could be the street name. Address line 2 Enter the second line of the address if you need to. This could be the village name. Town/city * Enter the town or city of the postal address. County Enter the county. Postcode * Enter the postcode, with or without spaces. Email address Enter an email address where we can write to you. Phone number Enter a daytime phone number that we can ring you on. This can be a mobile or land line number. Alternative phone number Enter another phone number we can reach you on. This can be a mobile or land line number. Event details Name of the individual/organisation * Enter the name of the individual/organisation. Type of event * Enter details of the type of event activity (such as a band, Morris dancing, display). Event location (place and town) * Enter the location of where the event will be held. Proposed date and time of the event Enter the date and time using numbers following the format dd/mm/yyyy and 00:00, for example 01/12/1980 and 14:30. Number of people to be involved Enter the number of people that will be involved in the event. Details of event marshalling Enter details of how your event will be marshalled (if applicable). Are you collecting money for a registered charity? Using the buttons select 'Yes' or 'No' as your answer. Yes No If you plan to collect money for charity you will also need a street collection licence which is available from the relevant district or borough council. Public liability insurance * Attach a copy of your public liability insurance. I have read the standard conditions for events and agree that no claim will be made by me, under any circumstances, as a consequence of the granting of this permission. * Tick to confirm. If you under 16 years old, you must have permission from your parent/guardian. Tick to confirm you have permission. Tick to confirm you have permission. Submitting your form Click the submit button only once. Please be patient as it will take a few moments to process your form and redirect you to our confirmation page.