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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 in advance of event <br />� ItltiS <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 />Date of Application: 5/22/23 <br />Applicant (Contact) <br />Section A - AvOicant Information <br />Taylor <br />Applicant (Contact) Phone: 574-235-7712. <br />Organization Name:-9 ity of South Bend VPA <br />Contact Email: ctaylor@southbendin.gov <br />Address: <br />301 S. St. 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 />Charles Black -Center— Resha Johnson <br />Organization Name: _— Contact Name: —_----___ <br />Contact Phone: <br />574-235-7479 --Contact Email:ljohnson@southbendin.gov <br />Address: 3419 W. Washington St.— city/State/ZIP: South Bend, IN 46601 <br />Section B - Event Information <br />Event Name: Back 2 School Parade/Boogie Event Type: (Festival, Race, Parade, Other,. P8r8de -- <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 />The event will be held on August 12, 2023. It will start @9am, line will be @ Washington <br />High School. The Parade will head east down Washington St. and end at the Charles Black <br />Community Center. <br />Date of Event Setup [mm/dd/yy]: 08/12/2023 — 7.30am - Set-up <br />----Time: ------------------- <br />Begin Date of Event [mm/dd/yy]: <br />08/12/2023 <br />End Date of Event [mm/dd/yy]: 08/12/2023 <br />Time: _9.00am Start <br />Time: 12:00pm <br />Event Cleanup Completion [mm/dd/yy]: 08/12/2023 --- _—Time:1.00pm <br />Total anticipated attendance: 800.1200 <br />The proposed event will require the closing of: 0 Streets M Sidewalks <br />