Municipal Dance License Application

Administration

Application for Municipal Dance License

Applicants must contact Chief Peterson at least 30 days prior to the date of the dance to schedule Police Officers

To the City Council of the City of Windom located in Cottonwood County of the State of Minnesota:

The applicant below hereby applies for a license to operate a dance in the City of Windom in Cottonwood County in the State of Minnesota in accordance with the information given below and the ordinance(s) of the City of Windom.

Dance Information
Tell us about the dance you are organizing
Date the Dance will Start*
MM slash DD slash YYYY
Time the Dance will Start*

: Hours

Minutes

AM/PM
Date the Dance will End*
MM slash DD slash YYYY
Time the Dance will End*

: Hours

Minutes

AM/PM
Where will Dance be held?*
Date when last public dance was held
MM slash DD slash YYYY
Location where last public dance was held*
Age Limits*
Band
Applicant Information
Applicant Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Federal ID # - FEIN #*
MN ID #*
Email*
Your email address is required for PayPal Payment notifications.
Enter Email Confirm Email
Cost/Fees:
Number of Calendar Days Dance will be held: Quantity*
If dance goes past midnight, add one more day to the duration of the dance. For example: if the dance is from 8:00 pm to 1:00 am, this would equal 2 calendar days.
Price: $10.00
Police Officer Fee:*
$40 per hour per police officer.
Price:
Nbr of Police Officers you will provide:*
Enter a number from 2 to 20
Please enter a number from 2 to 20.
Total number of hours of dance*
Enter total number of hours dance will be open
Total Amount Due with this Application
Additional fees may be billed if the dance goes over the number of hours specified on this permit or if the number of officers required increases.
$0.00
Third-Party Processing Fee*
- I acknowledge and accept that a third-party processing fee will be added to the dance application fee.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
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Comments
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Administration

Application for Municipal Dance License

Dance Information

Applicant Information

Cost/Fees:

Windom City Hall

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