K-1 - Special Events Application - June 2024 Drive-In Movies

Special Events Application City of Tiffin ∙ 201 Main St PO Box 259 ∙ Tiffin, IA 52340 Event Description: 2024 June Drive-In Movies Name of Applicant: Gina Smothers Phone: 248-891-7545 Location of Event: Tiffin Soccer Fields Date of Event: 6/14/2024 Time of Event: 5pm-11pm Estimated Number of Participants: 400+ people Person Responsible for Monitoring Event: Gina Smothers Plan for Restroom Facilities: Porta Potty Plan for Police Protection: N/A Describe Clean Up Plans: Volunteer teams will clean up the park after the event Parking Plan: Drive-In Style Park on the grass Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Two 1500 W speakers Number and Type of Vehicles Including Bicycles to be Used in Event: none Temporary Signage Request: N/A Special Circumstances Requested from City: Proof of Insurance Attached: ☒ or I certify that I am the person authorized to act on behalf of the event to request this permit and understand and agree to pay on behalf of the City all sums which the City shall be obligated to pay by reason of any liability imposed upon the City for damages of any kind resulting from use of public property and the public right of way, whether sustained by any person or persons, caused by accident or otherwise and shall defend as its own expense and on behalf of the City any claim against the City arising out of the use of public property and the public right of way and agree to follow all other ordinances that shall pertain including Ordinance 2006-277, City of Tiffin, Iowa. I understand that I will not erect any temporary signage for the event prior to City Approval of signage. ___________________________________ _______________ Signature Date For City Use: ___________________________________ _______________ Authorized City Signature Date Copy to Applicant _____ Johnson Co. Sheriff Notified _____ Fees Collected _____ Public Works Notified _____ Tiffin Fire Department Notified _____ Council Approval _____