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WEAPONS EVENT PERMIT Jerome Municipal Code 9.24.030 Application Name of Applicant: Day Telephone: Applicant Address: Name of Organization or Individual Sponsoring the Event: Date of the Event: Hours of the Event to . Location of Event: Description of Event: Type of Weapons Used at the Event: Bow and Arrows Cross Bow Air Gun Paint Gun Other: Description of Safety Precautions for the Event: Name of Insurance Carrier Covering the Event: I understand the sponsoring organization or individual for this event must provide reasonable safety precautions and adult supervision to avoid injury to people and property. I further understand the sponsoring organization or individual is responsible for obtaining appropriate insurance for the event ( proof of insurance must be attached to this application). The City of Jerome does not assume liability for injury to persons or property or liability for any other damage that may happen as result of the event described above. Applicant Signature Date ---PAGE BREAK--- Permit Approval Application reviewed by Chief of Police or Designee Approved Denied $20 Fee received by City Clerk’s Office. Date: Comments: Chief of Police or Designee Date