Date: _______________
Event Sponsor & Name of Event (Facility User): ____________________________________________________________________________________________________________________
Type of Event:______________________________________________ __________________________________________________________
Contact Information:
Direct Contact:_____________________________________________
Email Address:____________________________________________
Phone: __________________________________________________
Event Date Requested: _______________________________________
Start Time/ End Time:________________________________________ ________________________________________
Number of People attending: __________________________________
Special Requests:___________________________________________
Precautions (if any) in place as per Federal/State/County guidelines: ____________________________________________________________________________________________________________________
Brief description of event:
Required:
1. $100.00 nonrefundable deposit reservation fee for Sponsored events
2. Event application must be turned as soon as possible
3. Facility Use Agreement must be returned/approved two months prior to event
4. Certificates of Liability Insurance from each Vendor as specified on the Facility Use Agreement in each organization’s names to evidence current liability insurance for specific types of liabilities for this event naming the Port of Hoodsportas additionally insured with $1,000,000.00 liability limits and coverages. If applicable **Certificates of Liability from Every Participating Vendor Must be Received by the Port of Hoodsport One Month Prior to the Event.
*Preferred method of correspondence is via email at:
Port of Hoodsport
360-877-9350
24113 N Hwy 101 Suite A
P.O.Box 429 (mailing address)
Hoodsport, WA 98548-0429
E-mail portmail@hctc.com
REQUEST APPROVED & CONDITIONS:
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
REQUEST DENIED & REASONS:
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