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EDUCATION, LEISURE & LIFELONG LEARNING DIRECTORATE
Please complete this form and return it to the address overleaf as soon as possible. You will also need to
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3 complete and return a Site/Route Plan, an Events Indemnity Form and Risk Assessment. Proof of
Insurance Cover Certificate will also need to be supplied prior to the event.
1 Event Title:
Date, time and duration of event:
Name of Organisation:
Event to be held at (site/venue) address:
Brief Details of the Event:
Date and time required of facilities (inclusive of set up and clear away times):
Estimated number of people attending the event:
Name, address, post code and contact details of Secretary/Organiser:
Telephone numbers: work: home: mobile:
Email:
Name and address of one other Committee Member:
Telephone number: Email:
Will you require assistance from the following emergency services? (If yes, please explain why on a separate sheet. You will need to be aware that there may be cost implications in relation to the Police and the Ambulance service):

Police (please note the Police will no longer traffic manage at events or processions)

Fire Authority

Ambulance Service
YES / NO
YES / NO
YES / NO
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11 Do you have the appropriate Public Liability Insurance cover?
12 Do you intend to take a collection during the event?
YES / NO
YES / NO
(If yes, contact the Licensing Officer at Neath Port Talbot County Borough Council on
01639 763050)
13 Do you intend to charge an admission fee: YES / NO
(Admission fees may only be charged for entry into a fenced area denoting a carnival/event arena, otherwise all access to the site must be open to the public at all times)
14 Have you organised a first aid supervisor/treatment? YES / NO
15 Will you be selling alcohol? (If yes, contact the Licensing Officer on the number above)
16 Will you be selling food?
17 Will there be a street parade? (If yes, contact the Highways Office on 01639 686488 as soon as possible)
18 Will your event require road closure? (If yes, contact the Highways Office on 01639 686488 as soon as possible)
YES / NO
YES / NO
YES / NO
YES / NO
19 Will you be providing music, dancing, films, plays, boxing, wrestling or any indoor sports? (If yes to any of these, contact the Licensing Officer on 01639 763050)
20 Will there be structures (marquees/tents/stage)?
21 Will there be car parking and/or traffic issues to manage? (If yes, a traffic management plan will need to be submitted with your Risk Assessment)
22 Will there be a firework display?
YES / NO
YES / NO
YES / NO
YES / NO
23 Do you intend to use roadside banners to advertise your event?
(If yes you must contact the Highways Office on 01639 686488 to obtain an Application for
Temporary Signage of a Planned Event)
24 Has permission been sought from the landowner? Please note the following:
YES / NO
YES / NO
Permission to use Parkland within NPT needs to be approved by Parks Dept. in the first instance. Please contact 01639 686147.
Permission to use either the Town Square or Angel Square in Neath needs to be approved by
Highways Dept. in the first instance. Please contact 01639 686488.
Name, telephone and/or email of landowner or landowner representative:
Name:
Tel/Email:
The NPTCBC Safety Advisory Group will be unable to properly assess this application unless the following documentation is provided
Please tick the following:
Site/Route Plan
Signed Indemnity Form
Signed Risk Assessment enclosed
 enclosed
 enclosed
 enclosed
 to follow
 to follow
 to follow
 to follow
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Public Liability Cover Certificate
Signed by applicant:
Print name: Date:
THANK YOU - PLEASE RETURN THIS FORM TO:
Kerry Jones/Suzette Phillips - Special Events Officer/Secretary to Safety Advisory Group
Neath Port Talbot County Borough Council
Library Headquarters, Reginald Street, Port Talbot SA13 1YY
E Mail: specialevents@npt.gov.uk
Tel: 01639 860008 / Mobile: 07870 917611 / Fax: 01639 899152
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