*[Please Scroll Down For Application and Conditions Page]{.underline}*

**(NPS Form 10-930) (OMB No. 1024-0026)**

**(NEW 10/00) National Park Service (Expires 12/31/2010)**

**White Sands National Monument**

**PO Box 1086; Holloman AFB, New Mexico 88330-1086**

**Application for Special Use Permit**

> Please supply the information requested below. **Attach additional
> sheets, if necessary, to provide required information**. Allow at
> least five (5) business days for processing. A non-refundable
> processing fee may be required to accompany this application unless
> the requested use is an exercise of a First Amendment right. You will
> be notified of the disposition of the application and the necessary
> steps to secure your final permit. (Note: there may be additional fees
> charged, and you **may** be required to provide proof of liability
> insurance.)

  ----------------------------------- -----------------------------------
  Applicant Name:                     Organization Name:

  Social Security #:                  Tax ID \#

  Street/Address:                     Street/Address:

  City/State/Zip Code:                City/State/Zip Code:

  Telephone #:                        Telephone #:

  Cell phone #:                       Cell phone #:

  Fax #:                              Fax#:

  Description of Proposed Activity    
  (attach diagram):                   

                                      

                                      
  ----------------------------------- -----------------------------------

Requested Location:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Date (s):
[\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_]{.underline}

+----------------+----------------+----------------+-----------------+
| # Event set    | # Ev           | Event will end | Removal will be |
|  up will begin | ent will begin |                | done:           |
+----------------+----------------+----------------+-----------------+
|                |                |                |                 |
+----------------+----------------+----------------+-----------------+

> Maximum Number of Participants (Please provide best estimate)
>
> Maximum Number of Vehicles \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> (attach parking plan)
>
> Support Equipment (list all
> equipment)\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Support Personnel (contractors, etc. including addresses and
> telephones)\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Individual in charge of event on site (include address, telephone and
> cell phone
> numbers):\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> Is this an exercise of First Amendment Rights? Y N
>
> Are you familiar with/ have you visited the requested area? Y N
>
> Do you plan to advertise or issue a press release? Y N
>
> Will you distribute printed material? Y N
>
> Is there any reason to believe there will be attempts to disrupt,
>
> protest or prevent your event?(if yes explain on separate sheet) Y N
>
> The applicant by his or her signature certifies that all the
> information given is complete and correct, and that no false or
> misleading information or false statements have been given.
>
> Signature Date \_\_\_\_\_\_\_\_\_

Information provided will be used to determine whether a permit will be
issued. Completed application must be accompanied by an application fee
in the form of a cashiers check or money order in the amount of
**\$25.00** made payable to **[National Park Service]{.underline}**.
Application and administrative charges are non-refundable. *This
completed application should be mailed to Park address information.*

**Note** that this is an application only, and does not serve as
permission to conduct a filming project or any other use of the park. If
your request is approved, a permit containing applicable conditions and
regulations will be sent to the person designated on the application.
The permit must be signed and returned to the park prior to the event.

\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*\*

*The above application form is provided with the understanding that
parks will insert appropriate park names and addresses and the amount of
the application fee as desired.*

**Paperwork Reduction Act Statement:** This information is being
collected to allow the park manager to make a value judgment on whether
or not to allow the requested use. All the applicable parts of the form
must be completed. A Federal agency may not conduct or sponsor, and a
person is not required to respond to, a collection of information unless
it displays a currently valid OMB control number.

**Estimated Burden Statement:** Public reporting burden for this form is
estimated to average 30 minutes per response including the time it takes
to read, gather and maintain data, review instructions and complete the
form. Direct comments regarding this burden estimate or any aspects of
this form to the National Park Service, Special Park Uses Program
Manager, 1849 C Street NW (2460), Washington, D.C. 20240

> *You may download this form, fill it out, and email it to
> <whsa_special_park_uses@nps.gov>*
>
> **White Sands National Monument Special Park Use Coordinator:**
>
> **Erik Briske**
>
> **Phone 575-679-2599 ext 222**

**erik_briske@nps.gov**

> **fax 575-479-4333**

*[**Addresses**:]{.underline}*

*[Mailing:]{.underline}* White Sands National Monument
*[Physical:]{.underline}* White Sands National Monument

ATTN: Special Park Uses ATTN: Special Park Uses

PO Box 1086 19955 Highway 70 West

Holloman AFB, NM 88330-1086 Alamogordo, NM 88310

**[Wedding Signs]{.underline}**

-   Signs must be designed exactly as the example below

-   Signs must be placed on full size sheet of brightly colored poster
    board.

-   The lettering must be done using *[**TWO INCH** **THICK BLACK
    LETTERS**]{.underline}*

-   **[DO NOT INCLUDE ARROWS ON YOUR SIGNS]{.underline}**

-   Signs must be dropped off at the White Sands Entrance Station the
    morning of the wedding day. A Ranger will then collect the signs,
    attach them to sandwich boards, and set them along the Dunes Drive
    road.

**[Wedding Decorations]{.underline}**

-   Flower Arrangements garlands, sprays, bouquets, etc.: Must be silk,
    dried or fake **(ABSOULETY NO REAL FLOWERS/PLANTS/ OR PLANT MATERIAL
    WILL BE ALLOWED INSIDE THE PARK)**

-   Balloons: **NOT ALLOWED**; try instead kites or pinwheels

-   Candles/Luminaries/Torches/ Candelabras; wax must be picked up and
    disposed of outside the Monument; potential fire hazards if
    luminaries catch on fire, also, should use our sand for luminaries;
    ABSOULETY no open fires on the sands

-   Throwing of Rice, Birdseed, Confetti, or Flower Petals; **NOT
    ALLOWED**; try instead; bubbles or bells

-   Tarps/Tents/Awnings/Canopies/Arches/ Lattice/ Columns: Must be
    securely attached to the ground using stakes and rope

-   Glassware: **NOT ALLOWED**; may use Lexan or other plastics

-   Chairs, Tables, Red Carpets/Runners, etc,: do not trample vegetation

-   Motor home, trailer: for dressing rooms, equipment, etc.: generator:
    please be considerate with generator noise

-   Horses/Carriages: must follow monuments rules

ANY OTHER REQUESTS NOT COVERED WILL BE DEALT WITH ON AN INDIVIDUAL BASIS

**Missile Tests**

The monument and the missile range coordinate to minimize any impact to
the park schedule but occasionally we must close during a testing period
to ensure public safety. The monument will do everything possible to
avoid a closure during any period when a wedding permit has been issued.
However, we recommend that you call the monument up to two week prior as
well as the day before your wedding to insure that a missile test has
not been scheduled. Missile testing is scheduled anywhere from one month
to one day in advance and is subject to change, cancellation, or
extension at any time.

***I have read the above regulations and I understand that if my signs
do not meet the above specifications they will not be set up. I also
understand that I am responsible for following all the regulations on
decorations as well as calling the monument prior to my wedding to check
on the missile test schedule.***

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\_\_\_\_\_\_\_\_\_\_***

***(Applicants Signature) (Date)***