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City of South Bend Special Event Application <br />City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />r, <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Review the Instructions on the Special Events page before completing the application. City and Regional Special <br />Event applications must be submitted more than 30 days in advance of the event date or the application will not <br />be accepted. <br />Section. A - Applicant Information <br />4/19/21 Venues Parks & Arts <br />Date of Application: Organization Name:— <br />Applicant (Contact) Name. Cynthia Fish —�— - - --_ �- <br />Applicant (Contact) Phone: 574-235-3261 x5888 Contact Email: dish@southbendin.gov <br />Address: 30.1 S. St. Louis Blvd South Bend IN 46617 <br />City/State/ZIP:---------- '--- - - <br />List any professional event organizer, event service provider or commercial fundraiser that is authorized to work <br />on your behalf to plan, produce and/or manage your event. <br />Organization Name: _-- —__— __—_--_ Contact Name: _ <br />Contact Phone: __----------- Contact Email: <br />Address: —------------------------------ City/State/ZIP: ------- <br />Section B - Event Information <br />Kids TO Parks Da _- Event Type: (Festival, Race, Parade, Other): <br />Event Name : y Festival <br />Event Classification: A Non -Profit" ❑ For -Profit <br />© City (Civic) Sponsored ❑ Other (If Other, please describe): - ---- <br />'The Special Events Committee may request proof of non-profit status. <br />Provide a brief description and timeline of event (Note: A detailed map plan is required in Section H of this <br />application. The description should be a summary overview.) <br />Kids To Parks (KTP) Day, an initiative of the National Park Trust, is a nationally coordinated <br />day designed to connect kids and families with their local, state, and national parks. VPA will <br />be hosting this event at Leeper park from 1 pm - 4 pm on Saturday, May 15th. Features <br />include music and live performances, children's games and activities, information tables <br />from community partners, and a few food vendors present. <br />Date of Event Setup [mm/dd/yy]: 05/15/21 <br />Begin Date of Event [mm/dd/yy]: 05/15/21 <br />End Date of Event [mm/dd/yy]: <br />05/15/21 <br />Event Cleanup Completion [mm/dd/yy]: 05/15/21 <br />Total anticipated attendance: 500 <br />Time: 8:00 am <br />_,- Time: 1:00 pm <br />Time: 4:00 pm <br />Time: 6:00 pm <br />The proposed event will require the closing of: 9 Streets 11 Sidewalks <br />