Application for Animal Exhibition Permit Event Information:Name of Event(Required)Location(Required)ZIP code(Required)Date Start(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date End(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Hours of Operation(Required)Name of Exhibitor Organization/Business:(Required) I hereby make application for a permit to show or exhibit animals authorized to be shown or exhibited under the provisions of City of Knoxville Animal Ordinances Chapter 5, Article I, Section 5-14 and base my application upon answers to the following questions: Applicant Information:Name(Required) First Middle Last Date of Birth(Required)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920(Required) Street Address City State ZIP code Business Address Street Address City State ZIP code Cell Phone(Required)Home PhoneEmail(Required) Name, Address and Phone Number of all operators of exhibition: Name Phone Address Name Phone Address Name Phone Address Name Phone Address Have you or any of the parties listed above ever operated an animal exhibit?(Required) Yes No If yes, list the type of exhibit, date and place of operation over the last five years: Type of Exhibit Date Place Type of Exhibit Date Place Type of Exhibit Date Place Type of Exhibit Date Place Type of Exhibit Date Place Type of Exhibit Date Place Have you or any of the parties listed above ever been convicted of any violation of animal laws in any state within the last 10 years? Yes No If yes, give particulars of each charge, state, court and date of conviction: Charge State Court Date Charge State Court Date Charge State Court Date List below the number and species of all animals to be exhibited: Species QTY Species QTY Species QTY Species QTY Species QTY List below the name and phone number of veterinarians to be available during hours of exhibit operation: Name Phone Name Phone Name Phone Will animals be sold at the exhibition? Yes No Have you ever applied for an animal exhibition permit from the City of Knoxville? Yes No Have you ever had an animal exhibition permit denied in the State of Tennessee? Yes No If yes, explain the reason for the denial:Consent Read the following terms of the application for a permit to keep pot-bellied/mini pigs and, after carefully reading, understanding and considering the following, sign and date signifying your accord and agreement with those terms.I understand that, should my application be accepted, I am being granted a privilege, not a right. I acquire no vested interest in continuing to keep Pot-bellied/ Mini Pigs within the City of Knoxville beyond the stated terms of this permit. I understand that neither the City of Knoxville nor any of its instrumentalities, agents, or employees makes any representations as to continued rights to keep, sell, or maintain Pot-bellied/ Mini Pigs within the City of Knoxville or to extend the duration of the permit or grant additional permits in the future. I absolve the City of Knoxville of all liability flowing from any damage or harm that I or another granted authority under this permit might cause, by negligence or otherwise, in the enjoyment of the privileges granted therein. I assert that I have read and understand the relevant provisions of the Animal Ordinances in Chapter 5 of the City of Knoxville Code and agree to comply with all relevant provisions of those ordinances governing the treatment, sale, transport, and care of the animals in question and understand the criminal and civil consequences of violating those ordinances. I further understand that, in the event of a public health or safety emergency, I agree to immediate compliance with directions of public health officials and Young-Williams Animal Services and agree to allow those officials to enter, seize control, and/or close my operations if a situation threatening the public health and/or safety develops or is discovered.Signature Please remit this form along with the $25.00 application fee. Fees can be paid online or by check. Make checks payable to Young-Williams Animal Center and send to the following address: Young-Williams Animal Center ATTN: Animal Services Admin - Permits 3201 Division Street Knoxville, TN 37919 If you have questions relating to this application, please contact Young-Williams Animal Services: Email: [email protected] Phone: (865) 407-2229