Eclipse Government

Posted: **13 Jun 2026, 04:11**

1. EVENT ORGANIZER DETAILS

1.1 Full Name: Celeste Bulfinch
1.2 Phone Number: 4933803

1.3 Please attach a photocopy of your driver's license
- ATTACHED
1.4 Please attach a copy of your event planning license, obtained via City Hall:
- LSEMS Hosting
  ATTACHED

2. EVENT DETAILS

2.1 Event Location: Buen Vino Dr, Tongva Valley, down to Great Ocean and then down to Chumash.
2.2 Event Date: 05/JUL/2026
2.3 Event Time (( UTC )): 8pm UTC
2.4 Estimated number of participants: N/A

2.5 Details of planned event (Please provide a map with planned road closures, if they are required, an example can be seen here):
2.6 Is someone BLS certified required for this event? If so, please inform us of the names of the individuals who will be in attendance:
- [X] Yes, we have one or more individuals that are BLS certified.
  [] No, we do not have any individuals that are BLS certified.
  
  If yes, please list the individual(s):
  All of LSEMS.

[Event Application] LSEMS Triathalon - 05/JUL/2026