K-2 - Special Events Application - Girls on the Run 5K

Event Description: Girls on the Run 5K event. Name of Applicant: Christina Hamarstrom Phone: 319-541-4981 Location of Event: Clear Creek Trail Date of Event: November 10th, 2023 Time of Event: 4:30 - 6:00 pm Estimated Number of Participants: 30-35 runners. Person Responsible for Monitoring Event: Girls on the Run Coaches, Chris Hamarstrom & 3. Plan for Restroom Facilities: Port-a-potties on Site. Plan for Police Protection: N/A. Girls will run with an adult. Describe Clean Up Plans: Coaches and our team members will clean up. Parking Plan: Parking lot by Auxiliary field & Tennis Court. Description of Mechanical or Electronic Equipment to be used for Sound Amplification: N/A Number and Type of Vehicles Including Bicycles to be Used in Event: Signs will be used to mark 5K route and taken down after Temporary Signage Request: Special Circumstances Requested from City: Proof of Insurance Attached: For Christina Hamarstrom 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: Christina Hamarstrom Date: 9/19/23