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2. Event Organizer
4. Your First Name
5. Your Last Name
7. Name of Organization (if applicable)
9. Primary Phone Number*
10. Alternate Phone Number
12. Email*
14. Alternate Contact Person for Event
16. First Name
17. Last Name
19. Phone Number
20. Email
22. Event Information
24. Name of Event*
26. Date of Event*
    Date of Event
28. Start Time*
    Start Time
29. End Time*
    End Time
31. Event Location*
33. Purpose of Events*
    Maximum Allowed 250 words. Currently Used: 0 words.
35. Expected Atendance
    -- Select One --1 - 2021 - 5051 - 100100 - 199200 +
37. Primary event host is a...*
    -- Select One --Non Profit OrganizationFor Profit BusinessOther
39. Event Admission*

    1. Free Event
    2. Paid Event
41. Request for Police Department Involvement
43. Check all that apply*

    1. Provide officers to informally interact with event attendees (play soccer, etc)
    2. Provide security
    3. Field questions on a specific topic
    4. Provide a speaker on a specific topic
    5. Partner or co-sponsor
    6. Provide giveaways (stickers, etc.)
    7. Provide traffic control
    8. Other
45. NOTE ABOUT YOUR REQUEST FOR SECURITY: Off duty officers provide security for a fee. Contact the Hopkins Police Department Captain at 952-938-8885 for more information.
47. Please provide the names below of other speakers, agencies, and sponsors involved in this event. If not applicable, just write N/A. *
49. Other information you would like to share
    Maximum Allowed: 250 words. Currently Used: 0 words.
Leave This Blank:


51. 1. Receive an email copy of this form.
52. Email address

    This field is not part of the form submission.

53. Submit

* indicates a required field