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City of South Bend Special Event Application <br />City and Regional Event <br />,} <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: 8-11-21 Girls on the Run <br />PP -------- —_---- Organization Name:_______ <br />Applicant (Contact) Name:Amy Cooper Collier -------------------------------------------------------------------- <br />Applicant (Contact) Phone: 574_302_1085 --- Contact Email:Amy_coopercollier@girlsontherun_org <br />51160 Bittersweet Road, suite 202 Granger, IN 46530 <br />Address: <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 />Stone Sou Promotions Paula Turk <br />Organization Name:p__ Contact Name: ------- ---- <br />Contact Phone: 57_4-293-1683 <br />Address: 10 Melrose Manor <br />Event Name: Girls on the Run <br />Contact Email: Paula@StoneSoupPromotions.com <br />City/state/ZIP: Elkhart, IN 46516 <br />Section B - Event Information <br />Event Type: (Festival, Race, Parade, Other):5K Run/Walk <br />Event Classification: ® 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 />Girls on the Run is a 10 week empowerment and exercise program for young girls that <br />culminates in a 5K run/walk event. This is a national organization. <br />Date of Event Setup [mm/dd/yy]: 05/2 1 /22 <br />Begin Date of Event [mm/dd/yy]: 05/21/22 <br />End Date of Event [mm/dd/yy]: <br />05/21/22 <br />Event Cleanup Completion [mm/dd/yy]: 05/21/22. <br />Total anticipated attendance: 2500— <br />Time: 5:00 am <br />Time: 9'00 am <br />Time: Noon <br />------- ------- <br />Time: 1:00 pm — — <br />The proposed event will require the closing of: 0 Streets 11 Sidewalks <br />