2. Contact Information
4. Production Company*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Location Manager Name*
14. Location Manager Cell Phone Number*
16. Location Manager Email Address*
20. Film/Project Information
22. Type of Project*
    -- Select One --Student Project***CommercialCorporate VideoDocumentaryFeature FilmMusic VideoPSATV Series/TV PilotTV ProgramTV MovieOther
24. If Other: Type of Project

25. ***Student Projects must have an email from the supervising professor to verify current enrollment status before a permit is issued. Applications will not be processed until this correspondence is received. While there is not a permit fee for student projects, there will be fees associated with any City or County services required.

27. Description of Project*
29. Prep Dates/Times*
31. Film Dates/Times*
33. Locations of Sites/Properties*

    1. Commercial
    2. Residential
34. Please feel free to attach a diagram or map of location areas where you plan to film
36. List any Property Modifications Needed
38. Special Requests

    1. Street Closure
    2. Lane Closure
    3. Camera on Street
    4. Camera on Curb
    5. Camera on Sidewalk
    6. Drive Shots of Car
    7. Tow Shots
    8. Smoke/Fire/Pyro
40. Services Required

    1. Police Department
    2. Parks
    3. Fire Department
    4. Sanitation
    5. Other
41. If Other: Services Required
43. Special Effects or Stunts

    1. Smoke/Fire/Pyro
    2. Vehicles
    3. Simulated Weapons Used
    4. Falling/Jumping from Height
    5. Animals
    6. Other
44. If Other: Special Effects or Stunts
46. Nature of Filming: Please provide us with a concise description of the filming that is to be conducted.*

    Note: Be certain that all phases of the filming to be conducted are described. Any misrepresentation in the description by the applicant may be sufficient cause for the request to be rejected or revoked.

48. Impacts

    Please share the estimated number of personnel that will be working on this production below:

50. Number of Crew*
51. Number of Cast*
53. Number of Extras/Background Actors*
54. Number of Police Staff Needed*
58. Please list any other film needs you may have.
60. I have read and agree to the City of Newnan's Film, Television, Music and Video Production Guidelines.*

    1. Yes

    City of Newnan's Film, Television, Music and Video Production Guidelines
    

62. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you create a legally binding contract between the other party and yourself, or the entity you are authorized to represent.

    1. I agree.
64. Electronic Signature
Leave This Blank:


65. 1. Receive an email copy of this form.
66. Email address

    This field is not part of the form submission.

67. Submit

* indicates a required field