K-2 - Special Events Application - Infuse Church - Movies in the Park

Event Description: Movies in the Park Name of Applicant: Infuse Church Phone: 515-570-4404 Location of Event: Old Tiffin Soccer Fields Date of Event: May 22, June 19, July 17, August 14 Time of Event: 8:30-10:30 PM (Setup at 6:00) Estimated Number of Participants: 300-500 Person Responsible for Monitoring Event: Taylor Getting Plan for Restroom Facilities: Request for a portable toilet Plan for Police Protection: N/A Describe Clean Up Plans: We will have a number of volunteers helping and trash cans available Parking Plan: Participants will drive onto the old fields for a drive in movie, volunteers will help with parking assistance Description of Mechanical or Electronic Equipment to be used for Sound Amplification: x2 1500W PA Speakers x1 1500W Sub Number and Type of Vehicles Including Bicycles to be Used in Event: 0 Temporary Signage Request: N/A 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. ______________________________ ____________________________ 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 ______