City of Lowell
Cultural Affairs and Special Events
Civic Center, 50 Arcand Drive, Lowell, MA 01852

Date of request*

Applicant Name (Organization/Business):*

Contact name:*

Phone*

E-Mail*

Street*

City*

State*

ZIP*

Date(s) of event*

Type of Event*

Filming Walk - A - Thon Block Party Road Race

Assemblage Procession Festival Concert

Start Time*

End Time*

Event Description

Location/Venue (include map/siteplan)*

Activities:*

Expected Attendees:

under 50 51 to 100 101 to 250

251 to 500 501 to 1000 over 1000

Will you require street closings?

Yes

No