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Municipal Entity Underwriting Application - page 11 / 34

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Municipal Entity Underwriting Application

i.

If your entity has an ice skating rink, please answer the following:

i.

Type of rink?

ii.

Size of rink(s)?

iii.

Is the area lighted?

 Yes

 No

iv.

Is skating supervised?

 Yes

 No

v.

Please describe controls, if lake or pond:

3.

Athletic Participants

a.

Please attach a list of all athletic activities sponsored and number of participants.

b.

Is a signed consent form required from parents/guardians?

If yes, please attach a copy.

 Yes

 No

FAIRGROUNDS/FAIRS INFORMATION

1.

Location Of Fair Site

2.

Total Acreage

3.

Address (Street, City, State, Zip Code)

4.

Fair Dates.  

5.

Estimated Total Attendance This Year

6.

Estimated Daily Attendance

7.

Is 24-hour security maintained?

Please submit a copy of rules and regulations regarding camping conduct.

 Yes

 No

8.

Who provides security for fair?

 County

 City

 State Fair Employees

 Private Agency

9.

Minimum number and type of medical personnel.

a.

Paramedic

b.

Nurses

c.

EMT/EMS

d.

Other:  

10.

Type of musical entertainment provided.

 Hard Rock

 Pop Rock

 Jazz

 C&W

 Classical

 Bluegrass

 Other:

11.

List all grandstands.

12.

List all bleachers.

Location

Capacity

Age

Location

Capacity

Age

13.

Does the fair contract with a carnival for amusement rides?

 Yes

 No

14.

Does the fair or fairgrounds own or operate any amusement park rides or devices?

If yes, describe in detail.  

 Yes

 No

   DAY CARE /DAY CAMPS

11 of 3410/23/2007

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