ISLE OF MAN
CIVIL AVIATION ADMINISTRATION
St George’s Court, Upper Church Street, Douglas, Isle of Man, IM1 1EX, British Isles
Telephone: +44 (0)1624 682358 Fax: +44 (0)1624 682355
Email: [email protected]
Notification of Outdoor Laser, Searchlight, Firework,
Helium-Filled Toy Balloon or Sky Lantern Events
Note: Fields marked with an * are mandatory.
Please complete the form electronically, or in block capitals using black or dark blue ink.
1. APPLICANT DETAILS
*Name:
*Address:
*Postcode:
*Telephone No:
*Email:
Job Title /
Organisation:
2. EVENT DETAILS (Note: When practicable 28 days’ notice should be given of the event)
*Brief Description
of Event:
*Date of Event:
Daily Period (in local time):
*From:
*To:
If there are multiple events or testing prior to the event please give details below:
3. LOCATION DETAILS
URL Link to Location on Webpage:
Ordinance Survey Grid Ref:
Or, WGS84 Co-ord:
Lat:
Long:
*Contact Telephone Number at Site:
*Site Address:
*Postcode:
Maximum Display Height: (Fireworks only – For toy Balloons and Sky Lanterns enter ‘Unlimited’)
AGL ft
4. RELEASE DETAILS – TOY BALLOONS or SKY LANTERNS ONLY
(Note: Balloons must be made of Latex/Rubber, NOT metallic or with a metallic finish)
Quantity to be Released:
Method of Release:
Batch
Mass
Individual
If Batch selected, please indicate the number of occurrences:
5. DECLARATION
By submitting this document I, as the event organiser, declare that I have checked the above information and that to the best of my
knowledge it is correct and that I am aware of my obligations under The Air Navigation (Isle of Man) Order 2015.
Name:
Date:
When completed please send this form to:
Air Traffic Services, Isle of Man Airport, Ballasalla, Isle of Man, IM9 2AS
Tel: 01624 821629 Fax: 01624 821722 Email: [email protected]
Form 65 Issue 5