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Fireworks Application

  1. Logo
  2. City of Middleton Fireworks Application
  3. Organization Officers

    Complete for each officer of the organization (attach list if necessary)

  4. Person Responsible for Supervision permitted activity
  5. Is this permit for possession and storage only?*
  6. Attachments/Other Conditions:

    The following items are also recommended: 

    1) use of low-noise, or no-noise fireworks. The use of low/no-noise considers veterans with PTSD, other people with sensitivity to loud noises, and pets that may panic and run away, thus needing the help of the police and humane society 

    2) use of low or no perchloratecontaining fireworks

    3) due to the potential exposure to smoke and particulate matter produced during fireworks displays individuals with respiratory and/or cardiovascular diseases should be urged to take appropriate precautions when attending the event, or view from a safe distance to reduce exposure 

    4) all debris and unburned shell fragments be cleaned up entirely the following day

    5) any "misfires" or "duds" be located and disposed of properly

  7. Upload the following documents:
  8. Site Plan Showing:

    a. Firing location 

    b. Device layout 

    c. Location of spectators 

    d. Distance of spectators from firing location 

    e. Fallout perimeter 

    f. Storage area for fireworks 

    g. Distances to all structures from the firing location 

  9. Contact the Middleton FIre Department to schedule a pre-inspection date 608-827-1090

  10. Payment Method*

    Once you hit submit, you will be directed to the credit card processing page.  You may also mail a check to our office at 7426 Hubbard Avenue, Middleton, WI  53562

  11. I attest that the above information is true and correct and that any false or incomplete information may result in denial of my application.
  12. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
  13. Leave This Blank:

  14. This field is not part of the form submission.