Special Event Activity Application Form- City Of Battle Creek

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APPLICATION NO. _______________
DATE RECEIVED _______________
SPECIAL EVENT ACTIVITY APPLICATION
BATTLE CREEK, MICHIGAN
Name of Organization: ______________________________________________________________ Check one: q Nonprofit
q Profit
Name of Applicant: _________________________________________________ Address: __________________________________________
Telephone No: Home: ___________________________ Business: _______________________
Fax: _____________________________
Type of event: _______________________________________________________________________________________________________
Date(s) of event: ________________________________________
Alternate date(s): _________________________________________
Time of event: ___________________________
Set up time: ___________________
Tear down time: ___________________________
Will alcoholic beverages be provided? ____________
Will event be ticketed or free? __________
Expected attendance: ______________
Requested location(s) (Be very specific): __________________________________________________________________________________
___________________________________________________________________________________________________________________
Banners (indicate size, shape and materials to be used): ______________________________________________________________________
(If you are having a parade, submit a detailed route map)
Fees will be invoiced and are payable at the City Treasurer’s Office. The fees are in accordance with the “Fee, Bond and Insurance Schedule”
and other established charges. Please make check payable to the City of Battle Creek.
q Banner Installation
q Parking Spaces ________
q Risers ______
q Barricades________
q Picnic Tables ________
q Showmobile (Contact the Kellogg Arena at 963-4800)
q Clean up by City
q Police Security
q Street Closings
q Electricity
q Reviewing Stand
q Tents
Note: Picnic tables are available for City-sponsored or community-wide events only.
INDEMNIFICATION AGREEMENT
The undersigned agrees and promises, as a condition of approval of this request for use of public property, to defend, indemnify and save
harmless the City of Battle Creek, its agents, officials and employees, from all suits, claims, damages, causes of action or demands of any kind
and character arising out of, resulting from, or in connection with the use of said public property.
_____________________________________
____________________________________
Signature of Applicant
Date
_____________________________________
____________________________________
Signature of Witness
Date
Note: Special Event Permits must be clearly displayed on event day(s) and are subject to revocation for cause.
______________
Date: _______________
FOR OFFICE USE ONLY: q Approved
q Denied
By: City Clerk
___

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