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JAN 1 12023 <br />vl eF City of South Bend Special Event Application <br />F Neighborhood Event <br />�I, ucc jl. <br />$25 application fee if filed 30 days or greater (up to 180 days) in advance of event. <br />Itl:S % <br />Review the Instructions on the Special Events page before completing the application. Neighborhood 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 />1/11/23 National MS Society___ <br />Applicant (Contact) Name:Melissa Reynolds <br />713-444-7145 melissa.reynolds@nmss.org <br />Applicant (Contact) Phone: —____ Contact Email: _—�—___--_— <br />214 Overlook Cir Ste 153 Brentwood TN 37027 <br />Address: -----------____-- —_--- City/State/ZIP:-----___---------_-- - <br />Secondary Contact Name: Jordan Schmidt <br />Contact Phone: 402-984-9052 <br />Address: 1120 James Dr. #A <br />Contact Email: lordan.schmidt@nmss.org <br />Hartland, WI 53029 <br />City/State/ZIP: <br />Section B - Event Information <br />Walk MS: South Bend 300 <br />Event Name:___--- — Expected Attendance: <br />------------------------------- <br />Requested Street Closure: N/A <br />From (Cross Street) <br />To (Cross Street): __ <br />Provide a brief description of the event: <br />Walk MS is a community focused event and walk encourages participant fundraising to <br />support the MS Society in creating a world free of MS. Participants will enjoy a vendor fair, <br />music, and entertainment before the walk to support those living with MS. <br />__-- Time: <br />Date of Event Setup [mm/dd/yy]: 5/19/23 9_00am.-5:00 pm --_ — _ <br />5/20/23 8.00 am (6:00am Staff Arrival) <br />Begin Date of Event [mm/dd/yy]: _________----Time: <br />End Date of Event [mm/dd/yy]: 5/20/23 -- — — - Time: 12.00 pm — <br />Event Cleanup Completion [mm/dd/yy]: 5/20/23 3:00 pm <br />-------------Time: —� ------------------ <br />Have all residents on the affected block have been notified and invited? ❑ Yes N No <br />Please attach a copy of the door hanger or letter used to notify residents in addition to signature attachment. <br />Number of households fronting the proposed street closure: N/A --------------------- -- <br />Number of households represented by signatures on attached sheet: N/A <br />Will this event have music (live or other)? ® Yes ❑ No <br />