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2. Plan Submittal for Gatherings of 50 or More People
4. 
5. Indoor and/or outdoor gatherings expecting 50 or more people are encouraged to provide a plan to Bismarck Burleigh Public Health for review.
7. Applicant Information:
9. Name:*
10. Company Representing:*
12. Mailing Address:*
13. Phone Number:*
15. City:*
16. State:*
17. Zip Code:*
19. Email Address:*
21. Event Information:
23. Bismarck’s Environmental Health Division recommends that large gatherings be limited to no more than 50 people. Those wishing to submit a health plan for an event containing more than 50 people must meet the following criteria:
    Large Gathering Criteria
25. Name of Building Where Event Will Be Held:*
26. Address of Premises Where Event is Being Held:*
28. Date of Event*
29. Start Time:*
30. End Time:*
32. Total Number of Persons Expected to Attend the Event:*
33. The Occupancy Limit for the Event Building/Room:*
34. The Square Footage of the Venue:*
36. Event planners should submit a health plan no later than 7 days prior to the event.
37. Upload Plan Details that Includes Site Diagram of Venue:*
39. Signature of Applicant:*
41. By checking this box I acknowledge that I am electronically signing this form.*

    1. Electronic Signature
42. Date:*
    Date:
Leave This Blank:


44. 1. Receive an email copy of this form.
45. Email address

    This field is not part of the form submission.

46. Submit Submit and Print

* indicates a required field