Commercial Film, Television, and Photography Application Form

Applicant Information

Company (as it should appear on permit)*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Contact Name*

First Last

Email*

Date of Shoot*

Type of Production*

If "Other," please describe production*

Please answer the following questions

Will your shoot involve the use of firearms, dangerous materials, or special effects?*

Yes
No

Will you be using a truck for catering?

Yes
No

Will you be constructing a tent of any kind?

Yes
No

If yes, please describe the tent's general size and purpose*

Will you be using external propane tanks?*

Yes
No

Will you be generating power from the location?*

Yes
No

Film Information

Name of Production/Film/TV Show/Commercial*

Location Scout/Manager*

Producer*

Director*

If commercial, name of product

Celebrities Involved

Location(s) Requested*

Load-in Date*

Load-out Date*

Approximate Daily Shoot Times*

Number of Cast & Crew*

Basic Equipment List*

Budget*

Electrical Needs*

Vehicle Information

Number of Commercial Trucks*

Number of Crew Cars*

Other Production Vehicles

New York Botanical Garden Guidelines & Code of Conduct

I have read and will comply with the NYBG Guidelines & Code of Conduct*

Yes

I agree to list NYBG in the production's credits*

Yes

Insurance Information

Prior to commercial film, TV, or photoshoots, Licensee must procure and maintain, at its own cost and expense, comprehensive general liability insurance providing adequate protection for Licensee and the Garden, in an amount not less than $1,000,000 per occurrence.

Company, Agency, or Policy Number

Amount

Expiration Date

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