Candle Waiver

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):*

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.

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:

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