Application For Special Event Activity - City Of Battle Creek, Michigan printable pdf download

Application No. __________

Date Received __________

CITY OF BATTLE CREEK, MICHIGAN

APPLICATION FOR SPECIAL EVENT ACTIVITY

Applicants, if applicable, complete the following: (Please print or type)

Name of Organization: ___________________________________________Is the event: NonProfit ____ or for Profit_____

Applicant: ___________________________________ Telephone: Home __________ Business __________ Fax ________

Address: _________________________________________________________________________________________

Date(s) of Event: ___________________________________

Alternate Date: __________________________________

Time of Event: ____________________; Set up ___________________________; Tear down _____________________

Purpose of event: __________________________________________________________________________________

Will alcoholic beverages be provided? __________ Will event be ticketed or free? ___________ Expected attendance_______

Requested location(s) (be specific) ______________________________________________________________________

Banners (indicated size, shape and material to be used) ______________________________________________________

(If parade, submit detailed route map.)

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Fees will be invoiced and are payable in the Office of the City Treasurer. 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.

Banner Installation

Picnic Tables

Showmobile

Barricades

Police Security

Street Closing

Clean up by City

Reviewing Stand

Parking Spaces

Risers

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

Witness

Date

Note: Special Event Permits must be clearly displayed on event day(s), and are subject to revocation for cause.

FOR OFFICE USE ONLY:

Approval

Disapproval BY: City Manager ____________________ Date: __________

Application For Special Event Activity - City Of Battle Creek, Michigan