Jefferson, WI · Jefferson County
Merry-Go-Rounds and Other Public Amusements Application
This application requests a City of Jefferson permit for merry-go-rounds and other public amusements, and is filed by the event applicant with supporting safety, site, and insurance documents.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this application to request permission to hold a merry-go-round or other public amusement in Jefferson. The city requires the application at least 14 days in advance, with a crowd safety and security plan, a scaled site plan, and proof of qualifying insurance naming the city and specified representatives as additional insured. The applicant certifies the information is true, agrees to follow applicable laws and codes, and signs before a notary.
Who needs it
A company or individual planning a merry-go-round or other public amusement in Jefferson must submit this application and the required attachments at least 14 days before the event.
Why it needs a notary
The form has a sworn-and-subscribed jurat; the applicant signs and swears to the application before the notary, who completes the date and commission-expiration fields.
How to get this notarized
- 1
Download the Application
Get the Merry-Go-Rounds and Other Public Amusements application from the City of Jefferson.
- 2
Fill Out the Form
Enter applicant and event details, review the certification, and prepare the required safety plan, site plan, and insurance documentation.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary for the application's sworn-and-subscribed jurat.
- 4
Sign on Video
Appear for the online notarization, sign and swear to the application before the notary, and complete the notarial session.
- 5
Submit to the City
Submit the signed application, attachments, and fee to the city at least 14 days before the event.
Preview the form
The blank PDF straight from Jefferson. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I apply for a public amusements permit in Jefferson?
- Complete the application, attach the crowd safety and security plan, scaled site plan, and insurance documentation, then submit it to the city at least 14 days before the event.
- Do I need to sign this application before a notary?
- Yes. The form includes a sworn-and-subscribed jurat. Sign and swear to the application before the notary, who completes the notarial section.
- Can I sign the application with a commissioned online notary?
- Remote online notarization may be available with a commissioned online notary. Because the form is submitted to the city, confirm with the city or village if unsure whether it will accept an online notarization.
- What attachments does the application require?
- Attach a crowd safety and security plan, a scaled site plan no larger than 11 by 17 inches, and a certificate of insurance or commitment meeting the form's stated coverage requirements.