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03/13/2023 <br />,.„ City of South Bend Special Event Application <br />e <br />fiJ, <br />City and Regional Event <br />$50 application fee if filed 60 days or greater 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 />February 7, 2023 Venues Parks and Arts <br />Date of Application: _______ Organization Name:__________________- <br />Applicant (Contact) Name:_ <br />Rachael Zeiger <br />(574)440-4595 rzeiger@southbendin.gov <br />Applicant (Contact) Phone: _______ Contact Email: <br />Address: 219 S_ Saint -Louis -Blvd. —city/State/ZIP: South Bend, IN 46617 <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: <br />Contact Phone: <br />Address: <br />Event Name: Kids Triathlon <br />Contact Name: <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Event Type: (Festival, Race, Parade, Other): Race -- <br />Event Classification: i 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 />This is an annual triathlon that VPA hosts for kids ages 5-14 with 5 separate age groups. This race will take <br />place at John Adams High School due to Potawatomi being out of commision. The event takes place from 8: <br />00am-12:00pm with set-up time on the race day being as early as 5;00am and tear down following the end of <br />the race. As well as some set-up on the day before. <br />'Note rain date will take place on 7/23/2023 in the case of cancellation. <br />Date of Event Setup [mm/dd/yy]: 7/22/2023____--_ Time: 5:00am <br />Begin Date of Event [mm/dd/yy]: 07/22/2023 _ Time: 8.00am <br />End Date of Event [mm/dd/yy]: 7/22/2023___ Time: _______ 12'OOPm <br />_ <br />Event Cleanup Completion (mm/dd/yy]: 7/22/2023 <br />Total anticipated attendance: 200 --— -- <br />Time: 1 _00PM <br />The proposed event will require the closing of: ® Streets 9 Sidewalks <br />