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Candle Waiver
If you see this don't fill out this input box.
Candle Waiver Application
Can Electronic Candles be used? If yes, no need for a waiver.
* Required Field
-
Date of Event:
*
Title of Event:
*
Contact Person
*
Contact Email:
*
Contact Phone Number
*
Department / Student Organization Requesting Waiver:
*
Name of Responsible Supervisor:
*
Reason for Candle Use (be descriptive)
*
Religious & Special Events Only!
Exact Location of Ceremony, Festivity, Etc (no residence halls or apartments):
*
.
.
Type of Candle(s) to be used:
*
Globe
Votive
Floating
Pillar
Container
Dipped
Number of Candles Involved:
*
With Decorations
Yes
No
Length of Program/Candle Burning Time:
From:
*
To:
*
I am fully aware that
only glass covered (globe) candles and votives that do not exceed the height of the glassware are permissible.
I understand that portable fire extinguishers must be readily accessible and that I must familiarize myself with the location’s means of egress and/or evacuation plan.
I understand and agree that this activity will be supervised by a full-time college employee who has full knowledge of the activities and rules as stated above.
I understand that by signing this waiver I will assume full responsibility of all activities involving the use of candles for this particular event and the safe storage afterwards
PERMIT NUMBER IF REQUIRED:
Form UUID
Site Name
Submit
Clear
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