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Park Permit Application
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Park Permit Application
540 West Hills Circle, Owatonna, MN 55060 507-444-4321
Event Details:
Date of Event:
*
Location:
*
Type of Event:
Event Name:
Event Description:
*
Estimated Attendance:
Set Up Date & Time:
Set Up Date & Time: Start Date
Set Up Date & Time: Start Time
—
Set Up Date & Time: End Date
Set Up Date & Time: End Time
Actual Event Date & Time:
*
Actual Event Date & Time: Start Date
Actual Event Date & Time: Start Time
—
Actual Event Date & Time: End Date
Actual Event Date & Time: End Time
Clean Up Date & Time:
Clean Up Date & Time: Start Date
Clean Up Date & Time: Start Time
—
Clean Up Date & Time: End Date
Clean Up Date & Time: End Time
Sponsoring Organization Contact Information
Sponsoring Organization:
Address:
City:
State:
Zip Code:
Primary Contact Name:
*
Phone Number:
*
Cell Phone Number:
Email Address:
Contact During Event:
Cell Phone Number:
Alternate Contact During Event:
Cell Phone Number:
Event Features:
Will signs or banners be put up?
*
Yes
No
Number/type/size:
*
Will there be any inflatables, dunk tanks or other amusements?
*
Yes
No
Number/type/size:
*
User is required to call 811 for locates before staking. Insurance certificate from rental vendor is required. Please initial for acknowledgement:
*
Will a stage or tent be set up?
*
Yes
No
Number/type/size:
*
User is required to call 811 for locates before staking signs, amusements or tents. Insurance certificate from rental vendor is required. Please initial for acknowledgement:
*
Will there be entertainment?
*
Yes
No
Type:
*
Will sound amplification be used?
*
Yes
No
Type:
*
Are you requesting use of the park outside of usual rental hours 9 a.m. - 9 p.m.?
*
Yes
No
Please specify:
*
Will you have catering or be using a Food Truck as a caterer?
*
Yes
No
Please specify:
*
Food trucks and caterers must be for private events only, no sales. Please initial for acknowledgement:
*
Will portable restrooms, picnic tables, trash receptacles or other amenities be brought in?
*
Yes
No
Number:
*
Portable restrooms and other amenities will NOT be provided by or reserved through the Park & Rec Department. Please initial for acknowledgement:
*
Will Central Park Stage be used?
*
Yes
No
A rental fee of $250 will be charged for using the stage. Please initial for acknowledgement:
*
Time stage needs to be opened:
*
Time stage needs to be opened:
Time stage needs to be closed:
*
Time stage needs to be closed:
Type and size of group on stage:
*
I have read and understand the Outdoor Rental and Use Policies. I further understand not abiding by these policies may result in loss of damage deposit or additional charges.
*
Yes
Yes
Please initial for acknowledgement:
*
Provide any documents (flyers, event details) pertaining to event/activity:
Please provide any other additional details:
The sponsor(s) of this event hereby agrees to save the City, its agents, officials and employees harmless from and against all damages to persons or property, all expenses and other liability that may result from this activity. Depending on the size and scope of the event a Certificate of Insurance may be required. If insurance is required, the policy must be kept in force during the event of at least the statutory limits for municipalities covering claims that might be brought against the event that arise out of the events authorized and to name the City as an additional insured on their policy “as their interest may appear.” As the sponsor or authorized representative, I certify that the information provided is true to the best of my knowledge and agree to pay the permit fee for this event based upon the information provided in this application. I realize my submittal of this request constitutes a contract between myself and the City of Owatonna and is a release of Liability.
Type Name for Electronic Signature:
*
Date:
*
Date:
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