Tourism Grant Application

Name: Emporia 4th of July Fireworks Display
Start: 2021-07-04T21:45:00-05:00
End: 2021-07-04T21:45:00-05:00
Location: Welch Stadium, Emporia State University

Date of Event
Date Format: MM slash DD slash YYYY
Amount Requested
Project Name
Type:
- Attraction
- Event
Location
Organization Name
Event Contact
Title
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Best Phone #
2nd Best Phone #
Email
Note:
You may estimate the following if necessary; however, numbers on the Completion Report must be accurate.
# Out-of-town attendance
# local attendance
If Sporting event, # teams participating
Expected # of lodging rooms
# of nights being booked by visitors for the event
Has the Event been funded with a Tourism Grant before?
- Yes
- No
Are you receiving other grants, scholarships, donations, or outside funding?
- Yes
- No
How will the Tourism Grant be used?
In the spirit of this grant, how will proceeds, if any, from this event be used?
If you receive a Tourism Grant, to what email address do we send the CVB logo for use in promotional materials?
I have read and understand the tourism grant guidelines and agree to abide by the policies and procedures set forth in said guidelines. All information on the application is complete and accurate.*
- Yes
Date
Date Format: MM slash DD slash YYYY
Budget Form
Please list all revenue sources with dollar amounts. Click the PLUS sign on the right to add as many line items as needed.
Revenues $ Amount
Total Revenues
Please list all expenses with dollar amounts. Click the PLUS sign on the right to add as many line items as needed.
Expenses $ Amount
Total Expenses
Revenue over expenses
Grant recipient shall defend, indemnify, and hold harmless the Emporia Convention and Visitors Bureau, The Emporia Area Chamber of Commerce, their officers and employees from any claims, damages, liabilities, losses, government process, costs, expenses, including attorney's fees and costs of suit,arising out of any misrepresentation misappropriation of intellectual property, violation of privacy rights, and any injury to persons or property arising out of the event. The Emporia Area Chamber of Commerce and Convention & Visitors Bureau is relying upon the even organizer to make all necessary arrangements for security and safety at the event, and is not responsible to the event organizer or to any third parties for their safety.

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Note:

Budget Form

Revenues	$ Amount

Expenses	$ Amount