HomeMy WebLinkAbout2025 King Holiday Motorcade •
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BUSINESS/ORGANIZATION INFORMATION 1'
Name: 2025 King Holiday Committee
For Profit Non-Profit Government Neighborhood Assn Other /
Address: 1411 Sportsman Drive
Phone: 502-649-1771
Website:
Social Media:
Event Contact (name, phone, email): Janice W. Leavell
Phone/Email/Website for Public Inquiries:
502-649-1771 -janicewleavell@gmail.com
List all sponsors affiliated with the event:
City of Jeffersonville
EVENT INFORMATION
Name of Event: 2025 King Holiday Motorcade
Type of Event: Motorcade to Wesley United Methodist Church
Location:
Date(s): Monday, January 20, 2025
Event Times: Meet @ City Hall 12:30pm
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Setup Time: N/A
Teardown Time: N/A
Alternate Date (if applicable):None at this time.
Private or Public Event: Public Event
Estimated Attendance: # of Cars
Ticketed or Free Event: Free
Ticket Pricing(if applicable): None
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Is this a fundraiser for a non-profit organization? If so, provide name of the it and contact info:
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Detailed Description of Event: --1 /jot:
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FOOD/ALCOHOL
Will food be served at the event? If so, list vendor(s): ,
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Will alcohol be served at the event? If so, list vendor:
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Note:All vendors are required to provide a Certificate of Insurance that lists City of Jeffersonville as additional
insured. Vendor COls are due at least 30 days prior to the event. If alcohol is being served, the policy must
include alcohol liability coverage.
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REQUEST FOR STREET CLOSURE
Street Name(s) (include block numbers or cross streets): None needed
Date &Time of Closure:
Date&Time of Reopening:
REQUEST FOR ELECTRICAL SERVICE
*The Committee will approve the use of City-provided electrical service as it sees fit.Applicant should plan to
use portable generators for all electrical needs unless otherwise advised by the Committee.
Describe the electrical needs for the event:
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AMPLIFIED SOUND
*The City of Jeffersonville's noise ordinance requires that all amplified sound cease by 11 pm.
Will amplified sound be used at the event?
If so, provide the name of the company and contact info:
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Describe any other use of audio/visual equipment at the event(include company info if different from above):
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FACILITIES AND EQUIPMENT
*The City does not provide ancillary facilities, equipment, etc.for special events.
List the company and contact info for each of the following that will be used at the event:
FENCING
RESTROOMS
TENTS / /
REFUSE/RECYCLING
CLEANUP
PROMOTION AND ADVERTISING
Describe the promotional and ad
ad ertising plan for your event:
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CONSENT OF APPLICANT
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 and regulations set by
the Committee.
SIGNATURE&DATE ---L1-1--C-C.-- i et-4—ci _/
PRINTED NAME Janic . Leavell
TITLE Chair, King Holiday Committee
*Sections below will be completed by Special Events Committee*
COMMITTEE ADVISEMENT
The City of Jeffersonville Special Events Committee hereby APPROVES DENIES
this application based on the information provided at the meeting on 0 I„ . Iq , 20 25— (date).
APPROVED BY
Committee Director:
Safety Director:
Police Department:
Fire Department: V 4/�7.________
Parks Department: Ie,,,,x\c),2,( ,�- I nV 4 4,__.)
Street Department: //
*The Committee reserves the right to rescind approval of this permit at any time if requirements are not met
by applicant in a timely manner, or if the event is determined to be a risk to public safety.
REQUIRED SUBMISSIONS
(Dates Received)
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PERMIT FEE il 15D _-_-
INSURANCE \N P`VGD / Nl'-
SECURITY CONTRACT /cutieO I N I A"
VENDOR C01(s) J\j Ir"EOI NI(
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