The URL can be used to link to this page

Home My WebLink AboutThe SoIN Shakespeare Spring Tour 4/15/23 (BPW approved 4/12/23) �pEPq/��M eGCT Y 01 fir~ ' SPECIAL EVENT APPLICATION Qo9�W ,� J�v Submittal of this application does not guarantee approval of the event. FRso� This application must be completed in its entirety.Any applications not completed will be denied automatically. Before applying,please acknowledge that addendum will be utilized in instances where additional liability on behalf of the applicant may occur.Applications must include a detailed site plan which clearly shows all temporary structures including but not limited to tents, portable toilets,stages, bleachers,dumpsters, fencing, inflatables, etc.at the time of submission. If you are applying on behalf of a nonprofit, please provide proof of organization's nonprofit designation. EVENT INFORMATION( � _ Name of Event: —1-AS,-1-AS, SIO1`�1 Jkkk, (� Spn(�C' Tour Type of Event: Owl 6r) Event Date(s): t'Ii�1 t t 11". Event Time: ZO - 50 1'-' Event Day 2: Event Time: Event Day 3: Event Time: Event Location: 2 2 t(( S�1'eel—, de F 30 Alternate Date, Time and Location: I�l,t GNU OM-- �f 1 1.)e, d le F xC 2 reff I L / I N 4-1(30 Will additional time be needed for set up/break down? (please check) , YES ❑NO Set up will begin on (date): 1Y1 I IS�I^' at(time): 2' 00 Break down will begin on (date): at(time): Please provide a detailed description of your proposed event(be specific): Is this event open to the public? (please check; YES ❑NO Estimated attendance*. 50 Estimated number of teams participating? (athletic Tournament only) "Fees may be assessed during post event inspection if actual attendance exceeds above estimate. 1 :;uaweaJ6e aya;o swial :auoyd pe;uo3 :uosaad PewoD :paleuop aq 111nn yp!gm spun;;o% :uoiaeziue6JO 1!)auag :uogewio;ui 6u!mo11o;al—nap/aid aseaid'iueolldde aye uey1 Jay ao uoilez!ue6Jo ue Jo;papua4u!aJe Juana ayl;o spaaooJd ay;;! 4pasn aq anuanaJ ales;aNDy 11!M MOH O t sJoluaS O uaJp]I J �} f s41nPb' 0lc :falgeDgdde;r))SSaoud aa){oll ��..// JNIaxn3 ;3 ZSO3 l t T q I ic) r)'d N imp' itv aoi sny'- aJayM"os d� ON❑ s A pxPa4p aseaid) aa paonpoad auana s!L s! :a11lnuosJa;;ap u! aoeld ua>e;sey auana slyc siea/(;o JagwnN AilD" lr C-1A10a11101)0Y.1? DC :aui1uo pa;s!1 aq oa pue uoc ewio;ui aaow Jo;loeewoo o}f ai]gnd aya lump noi(_11ewa Jo/pue iagwnu auoyd -MA J vrJ 0 1/0 ., )eiY1/1ll` .1!ew31DeauoJ alp-up OocS -'AcS —Z Cj :auoyd aoeWuoD awls-u0 d �� .aweN aoewoJ ails-u0 •e!Pay1 1epoS 1A10 I r04�-1) 71111R1 ID-69.3l1! :11ew3 Qx)SS 05 :auoyd A4A9?-L(tJd111ALUUSMjer ('ichn'i .aalsgam OC L-V :apoJ d!Z N i :awls � 1 d I I��u 05)'d.j jd( 4GIJ I ) lvl/rr) �[1/100 Q09 :ssaipP`d laaa1S (tiaI6;5Y1/Ulilill1 )►\nd dU\\.I ).Pc) :aweN :Jai-PO❑ uopepossy pooyaogy6laN❑ 1eluawwanoo 1l;oaduoN❑ 1l;ad Jo j❑ ppatp aseald) :auana aya 6ulonpoid uoyez!ue6ap NOI.LVWUOINI NOIZVZINVD UO ROAD CLOSURE Will your event require road closures?(please check) ❑YES AO If yes, please describe the roads that would be closed and provide the opening/closing dates and times.Also, please attach map detailing closures and cross streets. Name of streets: Date/Time of Closure: Date/Time of Opening: PARKING Will you need any parking lots reserved for non-public use?(please check) ❑YES NO Will you be using areas for off-site parking?(please check) El YES XNO TRAFFIC CONTROL Will your event require traffic control? (please check) El YES WO ALCOHOL Will alcohol be served at your event? (please check) ❑YES NO FOOD Will food be served at your event?(please check) ❑YES XNO If yes,will food be self-prepared?(please check) El YES )1NO INFLATABLE ATTRACTIONS: (Please make sure to include on site map) Will inflatable attractions (bounce houses, slides,games) be part of this event? (please check) ❑YES {WNO If yes,who will staff the attractions? ❑Vendor Cl Event Staff AMPLIFIED SOUND: Will amplified sound be used at your event?(please check) ) YES ❑NO If yes,what will be amplified (music, speeches,etc.)?(please check) IgYES ❑NO If yes,what time(s)will sound be amplified? • (?/C D 1 DO,p�/rU �1�' If yes,what sound company will provide sound? e wU ► i�.S AUDIO/VISUAL EQUIPMENT: Please list any A/V equipment to be used at your event: SOeakef &istvm (en) 3 FENCING (Please make sure to Include on site map) Will you be using temporary fencing for your event? (please check) ❑YES )0NO If yes,what company will provide fencing? REFUSE AND RECYCLING (Please make sure to include on site map) Will you need refuse containers(dumpsters)for your event?(please check) ❑YES XNO If yes, how many will be used? If yes,what company will provide refuse and recycling services? RESTROOMS (Please make sure to Include on site map) Will your event require temporary restrooms?(please check) ❑YES $NO If yes,how many? If yes,what company will provide restroom services? CLEAN-UP: Will you use a cleaning company for event clean-up?(please check) ❑YES KNO If yes,what company will provide cleaning service? ELECTRICITY: Will you be using temporary electric (generator) at your event?(please check) ❑YES 'NO If yes,what company will provide electric service? TENTS (Please make sure to include on site map) Will you be using tents,stages, ticket booths,etc.at the event?(please check) ❑YES PO If yes,will tents be larger than 150 square feet(Larger tents require permit)? (please check)❑YES le NO If yes, please indicate the number and size of tents and desribe how tents will be used: If yes for larger tents,what company will be providing tents? PROMOTING/ADVERTISING: What type of promotion/advertising do you have planned for your event? �i2.Q.. baAnV�.P_A '� ' )( 2� — C� )4 RAIL — aux(.I Two *Itr_c 3i w I sizilco T60 006re rs 711e)1175 4 X •Y. u SIGN AND RETURN this completed application with supporting documents to the Jeffersonville Parks Department, Attn: City Events Planning Board. Email: parksinfo@cityofjeff.net Mail: 500 Quartermaster Court Jeffersonville, IN 47130 Applicant agrees that the contents of the application are complete, true and accurate to the best of their knowledge, information and belief, and agrees to ensure compliance with the policies set by the City Events Planning Board. 0 3 - 2�I - ��-3 Sign ure of Applican23') :Date *Upon approval by the City Events Planning Board, applicant will be required to pay the Special Event Permit Fee determined by the Board.This fee is usually set at$150 per application, but may be increased depending on use of city services, risk assessment or other factors. **A certificate of insurance is required for all events, with minimum coverage of $1,000,000 liability.The certificate must list the City of Jeffersonville as additional insured, and must be submitted to the Parks Department at least 10 days prior to the event date. This section to be completed by City Events Planning Board PERMIT FEE $ - • Receipt# APPROVED BY Date Police/ C/-y-Zoz3 -el Fire: �D•L% `/-`(-7( 2 5 Street:l-- -,/E L/" y°?�3 Parks:(((/////j t_�� )42'- e-d0 Safety: Directc(41)1/4,..„(1, 5 4'--1 5 50 11,1 40.1t4L4+ :Tpla