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Application
Special Events Application
*
Name of Event
Event Organizer Information
*
First Name
*
Last Name
*
Address
*
City
*
State
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AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IA
IL
IN
KS
KY
LA
MA
MD
ME
MI
MO
MN
MS
MT
NC
ND
NE
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
*
Zip
*
Phone
*
Email
*
Emergency contact number for event
Event Website/Social Media Page
*
Event Location
Select City Park requested (Must be reserved through Parks & Recreation)
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Alejandro R. Ruiz Sr. Park
Blain Park
Burke Park
Cherry Meadow Park
Combs Park
Constitution Park
Crestwood Park
Fairview Park
Garden Street Plaza
Houk Park
Jefferson Park
Kiwanis Park
Lincoln Oval Park
Lion's Park
Mayor's Park
Memorial Park
Mill Creek Garden
Packwood Trails
Perry Family Park
Plaza Park
Pinkham Park
Provident Skate Park
Recreation Park
River Bend Park
Riverway Sports Park
Rotary Park
Seven Oaks Park
Soroptomist Park
St. John's Parkway
Stonebrook Park
Summers Park
Sunset Park
West Main Park
Whitendale Park
Wittman Village Park
Woodland Park
Willow Glen Park
*
Event Date(s)
(Application Date must be at least (2) months prior to your event)
*
Event Time(s)
*
Estimated Attendance
*
Type of Event (select all that apply)
Parade
Ribbons on Trees
March
Protest
Dance
Run/Walk
Motorcycle
Carnival/Festival
Concert
Car Show
Other
Block Party
*
Will you be serving food?
Yes
No
*
If yes will there be cooking on site?
(
Example BBQ Grill
)
Yes
No
*
Are you going to be serving alcohol?
Yes
No
*
Will you require street closures?
Yes
No
*
Will this event impede, obstruct or block
No
Roadway
Bike Lane
Street Parking
Sidewalk
Bus Stop
Public Parking Space
Alley
Event Description
(tell us about your event; include as much detail information as possible. Include each days setup time, start time, end time and attendance)
*
Event Description
*
Security Word
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