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 EVENT APPLICATION Space: q The Amp (Pompano Beach Amphitheater) q Amp Grounds q Civic Center Auditorium Event Name: Description (List all performers and/or groups in the show for which this event application is being submitted): Target Date: Alternative Date: Start Time: End Time: Estimated Attendance: Ticket Price(s): Name of Organization: Federal Tax ID or SSN: Contact Name: Title: Contract Phone: Cell: Contract email: Address: City/State/Zip: List references within the entertainment industry where payable business transactions have occurred: Vendor Name Contact Person Telephone Number Email Address Venue(s) of previous promotions: Venue Name Contact Person Telephone Number Email Address Previous Events in the past calendar year (if none, list events in the prior year): Name of event: Date: Attendance: Venue: Name of event: Date: Attendance: Venue: Note: Rules and regulations concerning conduct of the performers and the audience established by the City of Pompano Beach and Pompano Beach Arts must be strictly observed. Until this application is officially acted upon and a contract executed, there shall be no legal or binding commitment between Pompano Beach Arts and the Event Applicant. Dates will not be held until application is returned and approved.