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• <br />CJ <br />• <br />xcT,i City of South Bend Special Event Application <br />o, City and Regional Event <br />17 $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 />Date of Application: <br />12/5/2023 <br />Section A - Applicant Information <br />Girls on the Run Michiana <br />Organization Name:___ _ ___ <br />Applicant (Contact) Name:Hannah Francis- --------- --------------------------------------------------------- <br />Applicant (Contact) Phone: Contact Email: <br />---- <br />920-858-6278 hannha.francis@girlsontherun.org <br />_____________________________________ <br />Address: 51160 Bittersweet Rd, Ste 202 city/state/ZIP: Granger, IN 46530 <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 />Contact Name: <br />Contact Email: <br />City/State/ZIP: <br />Section B - Event Information <br />Girls on the Run Michiana 5k 5K Run/Walk <br />Event Name: Event Type: (Festival, Race, Parade, Other):_ <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 program for 3rd-5th grade girls that culminates in a <br />non-competitive, untimed run/walk event. <br />Date of Event Setup [mm/dd/yy]: 5/18/2024 <br />Begin Date of Event [mm/dd/yy]: 5/18/2024 <br />End Date of Event [mm/dd/yy]: _5/18/2024 <br />Event Cleanup Completion [mm/dd/yy]: 5/18/2024 <br />Total anticipated attendance: 2500 <br />Time: 5:00am <br />9:30am <br />Time: —_--_____, <br />Time: 12:00pm <br />Time: 1:00pm <br />The proposed event will require the closing of: ® Streets ❑ Sidewalks <br />