K-2 - Special Events Application - Holiday Hoopla - Infuse Church

Event Description: Holiday Hoopla Name of Applicant: Taylor Getting Phone: 515-570-4404 Location of Event: New Tiffin Soccer Fields Date of Event: 12/11/2021 Time of Event: 10am-12pm (Setup 8 AM – Leave 1 PM) Estimated Number of Participants: 800 People driving through Person Responsible for Monitoring Event: Taylor Getting Plan for Restroom Facilities: Concession Stand restrooms Plan for Police Protection: ____________________________________________________________ Describe Clean Up Plans: We will clean up the area when the event is over. Parking Plan: Soccer Fields Parking Lot Description of Mechanical or Electronic Equipment to be used for Sound Amplification: Speakers playing Christmas music Number and Type of Vehicles Including Bicycles to be Used in Event: It will be a drive through, cars will be going through and then exiting Temporary Signage Request: Special Circumstances Requested from City: N/A Proof of Insurance Attached: ☐ or We will provide one to Doug 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 _____