Special Event - National Kids to Parks Day - May 18

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. City of South Bend Special Event Application • City and Regional Event $50 application fee if filed 60 days or greater (up to 360 days) in advance of event $100 expedited application fee if filed 30-59 days in advance of event Please Brine Completed Application and Payment to: Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN • 11 Review the Instructions on the Special Events page before completing the application. City and Regional Special Event applications must be submitted more than 30 days in advance of the event date or the application will not be accepted. Section A - Apol icant Information Date of Application: April 1, 2024 Organization Name: Venues Parks & Arts Applicant (Contact) Name: Demetrius Kennedy Applicant (Contact) Phone: Contact Email: dkennedy@southbendin.gov 219 S. Saint Louis BLVD South Bend, IN 46617 Address: City/State/ZIP: 574 235 7522 List any professional event organizer, event service provider or commercial fundraiser that is authorized to work on your behalf to plan, produce and/or manage your event. Organization Name: Contact Phone: Contact Name: Contact Email: Address: City/State/ZIP: Event Name: Section B - Event Information Event Type: (Festival, Race, Parade, Other): Event Classification: ❑ Non -Profit" ❑ For -Profit ❑ City (Civic) Sponsored ❑ Other (If Other, please describe): 'The Special Events Committee may request proof of non-profit status. Provide a brief description and timeline of event (Note: Adetailed map plan is required in Section H of this application. The description should be a summary overview.) Date of Event Setup [mm/dd/yy]: Begin Date of Event [mm/dd/yy]: May 18th,2024 May 18th,2024 Time: 12:OOPM Time: 1:00 PM End Date of Event [mm/dd/yy]: May 18th,2024 Time: 4:00 PM Event Cleanup Completion [mm/dd/yy]: Total anticipated attendance: 400 May 18th,2024 Time: 5:30 PM The proposed event will require the closing of: ® Streets ❑ Sidewalks