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City of South Bend Special Event Application <br />y� Wit. <br />: ct. City and Regional Event <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <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 />Date of Application: 4/8/21 <br />Applicant (Contact) Name: Courtney Kipker <br />Applicant (Contact) Phone: (574) 514-4176 <br />Address: <br />111 W. Jefferson Blvd., Suite 300 <br />Organization Name: Beacon Health System/Sunburst Races <br />Contact Email: ckipker@beaconhealthsystem.org <br />City/State/ZIP: South Bend, IN 46601 <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 />Sunburst Races Race <br />Event Name: ___________ Event Type: (Festival, Race, Parade, Other):_______ <br />Event Classification: E 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 />Half Marathon @ 7am, 10K Run @ 7:45am, 5K Run @ 8:30am, 5K Walk @ 9:15am. 'If needed due to COVID-19, all <br />races have start time windows. Races start at Four Winds Field and finish in Notre Dame Stadium. *If COVID-19 afters the <br />current ND football schedule, races will both start and finish at Four Winds Field. Sunburst staff will begin setting up course <br />signage on 9/25/21 @ midnight and will be at Four Winds Field by 2:30am to bad trucks for on course deliveries and to set <br />up start line structure. Finish line closes at 11:30am. <br />Date of Event Setup [mm/dd/yyl: 925/21 <br />Begin Date of Event [mm/dd/yyl: 9/25/21 <br />End Date of Event [mm/dd/yyl: 9125/21 <br />Event Cleanup Completion [mm/dd/yyl: 9/25121 <br />Total anticipated attendance: 6,000_ <br />Time: start @ midnight <br />Time: 7am (start of first race) <br />Time: 11:30am (finish line closes) <br />Time: 4pm <br />The proposed event will require the closing of: 0 Streets ❑ Sidewalks <br />