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HC144 OPDIV Patch Aviation Training Center (ATC)

Mobile, Alabama

Public Affairs Event Request Form

                                               Air Crew Wings

           

 Event Request Form

Event Details

Type of event :

Event name:      Date of the event:

Request:

Expected time of arrival:    

Expected time of departure:

Number of people expected to attend:

Expected media coverage of this event (TV, Radio, Web, etc):

Other governmental agencies participating:

Additional comments about event:

Is this event being used to support any commercial interest, political party, or candidate?

If yes, please explain:

Is this event open to the public?

Is this event used to raise funds?

If yes, please explain:

Contact Information

First name:    Last name:

Organization:    Title:

Phone number:    Wireless number:   

Fax Number:

Email address:    Web address:

Aircraft Static Display or Flyover Information

Site Latitude and Longitude Coordinates (preferred) or Street Address:

Site composition:

Please give details on obstructions to be located near the immediate landing site:

Landing site dimensions in feet: width    length

If the aircraft needs to depart early due to operational necessity, can the aircraft do so without creating a hazard to people and property?

Do you have access to any radio which might be used to communicate with the aircraft?

If so, please advise; Band:  Frequencies:

In order for the Coast Guard to perform an aircraft static display, the local fire and police department must be notified.  If applicable, please provide us with a letter of agreement from the event organizer or manager of property authorize the Coast Guard aircraft to land on event property.

For Static Displays of aircraft, what expenses will the event cover for the aircraft crew?

Please tell us any additional comments:

***Any “collection of information” as defined in the Paperwork Reduction Act of 1995 (codified at 44 U.S.C. 3501 et seq) on this webpage has not been approved by the Director of the Office of Management and Budget (OMB) and does not display a valid control number assigned by the Director. Therefore, no person shall be subject to any penalty for failing to comply with any such collection of information.

***Please note that all event requests should be made at least 30 days in advance.

 ****The USCG reserves the right to cancel the event without notice due to our operational requirements.

 

Last Modified 7/15/2014