K-2 - Dog Splash Day

Special Events Application Event Description: Dog Splash Day - kiddie pools at the dog park Name of Applicant: Tiffin Fire Dept/Jessica Fick Phone: 708-504-9287 Location of Event: Tiffin Dog Park Date of Event: 17AUG24 Time of Event: 10:00am Estimated Number of Participants: 100-200. Lasy year we had 100 dogs and 100+ humans Person Responsible for Monitoring Event: Jessica Fick Plan for Restroom Facilities: Anything availabe at the park Plan for Police Protection: Not necessary Describe Clean Up Plans: We pack up our stuff Parking Plan: Parking as availabe at park Description of Mechanical or Electronic Equipment to be used for Sound Amplification: None Number and Type of Vehicles Including Bicycles to be Used in Event: 1 pickup for transportation of supplies Temporary Signage Request: Signs posted at dog park Special Circumstances Requested from City: N/A 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. Jessica Fick Signature 16JUL24 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 _____