Special Event Permit Application

Special Event Permit Application
- There is a $100 non refundable fee for all special event permits.
- Please upload Certificate of Insurance, maps, schedule of events, etc.
- For food events, please upload Department of Health License/Certificate.
- Permits will not be issued more than 90 days prior or 48 hours before event.
For more information, contact Melissa via email at Melissa@Thornbury.org or by calling 610-399-8383 x107.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
Email*
Organization Name (if applicable)

Organization Name
Organization Address

Street Address

Street Address Line 2

CityState

Zip Code
Organization Phone Number
Please enter a valid phone number.
Organization Email
Location of Event*
Event Date*

MonthDayYear
Date
Event Start Time*

Hour Minutes

AM/PM Option
Event End Time*

Hour Minutes

AM/PM Option
Number of Attendees*
Event Description*
File Upload

Cancelof
Should be Empty: