Electronic Event Sanction Application

Electronic Event Sanction Application Form

Local making application L #   Name of Event:   Date of Event:
Person filling application:   Phone:   FAX:
Address: City:  State:  Zip:
Your E-mail address:   Event Person's E-mail address:
Person responsible for event:  Phone:  FAX:
Address:  City: State:  Zip:
This event is a fundraiser for: (Pick One) General Fund  PAC/FORR  Rider's Ed  Other
(If other, please explain):
Is the name "Freedom of Road Riders, Inc. to be used in advertising this event?  Yes     No
Is the "Winged Wheel" logo to be used in advertising this event?    Yes     No
Amount of coverage? (Pick One)  Normal   1 Million $
Will this be an AMA sanctioned event?  Yes     No
This event will be:  Held or  Started at;
Name:   Phone:  FAX: 
Address:  City:   State: Zip:
E-mail address:
This event will end at: Name: Phone:
Fax: City: State: Zip:
E-mail address:
List Co-Sponsors: Please list any additional Co-Sponsors in additional information space at the bottom of this form.
Name: Phone:   FAX:
Address: City: State: 
Zip: E-mail:
List those to be Additional Insured: Please list other additional Insured in space supplied below.
Name: Phone: FAX:
Address:  City:    State: 
Zip:  E-mail: 
Is the above the Property Owner?    Yes    No
Does the local have proper release forms: (FORRŪ or AMA only)    Yes     No
Type of event    If other explain:
Will an type of alcohol be served during this event?    Yes      No
By whom:   Do they have all required licenses?    Yes     No
Address: City: State: Zip: 
Are they the Property Owner?    Yes      No
Additional Information or Explanations: