The University of Virginia Police Department can assist you in organizing a special event within the U.Va. Community. Services offered include traffic control and security. If you are planning an organized walk or run, the special event application and map of the route should be submitted below. If you have questions, please contact Officer Benjamin Rexrode: (434) firstname.lastname@example.org Applications should be submitted 30 days prior to the event. Name of Event * Sponsor Contact Information Name * Address Phone Event Information Date of Event Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year201720182019 Start Time Hour Hour123456789101112 : Minute Minute00153045 am pm End Time Hour Hour123456789101112 : Minute Minute00153045 am pm List Any Other Special Requests (i.e. Traffic Control Officers, etc.) Upload Map of Event Route Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx. Number expected of participants * Enter number of participants expected to attend event. Sponsor Electronic Signature * Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20152016201720182019 CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.