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• <br />11 <br />„ City of South Bend Special Event Application <br />City and Regional Event <br />UI 14 <br />$50 application fee if filed 60 days or greater (up to 360 days) in advance of event <br />$100 expedited application fee if filed 30-59 days in advance of event <br />Please Brine Completed Application and Payment to: <br />Public Works Service Center, 731 S. Lafayette Blvd., South Bend, IN <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 />Date of Application: 1 /21 /2025 <br />Applicant (Contact) Name: Hannah Francis <br />Applicant (Contact) Phone: 920-858-6278 <br />Organization Name: Girls on the Run Michiana <br />Contact Email: hannah.francis@gidsontherun.org <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 />Contact Name: <br />Contact Email: <br />Address: City/State/ZIP: <br />Section B - Event Information <br />Event Name: Girls on the Run Michiana 5k <br />Event Type: (Festival, Race, Parade, Other):5K Run/Walk <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 />Date of Event Setup [mm/dd/yy]: 5/16/2025 <br />Begin Date of Event [mm/dd/yy]: 5/17/2025 <br />End Date of Event [mm/dd/yy]: 5/17/2025 <br />Event Cleanup Completion [mm/dd/yy]: 5/17/2025 <br />Total anticipated attendance: 2500 <br />Time: 1pm - in by 5am next morning <br />Time: Gam (volunteers arrive) <br />.Time: 12Pm <br />The proposed event will require the closing of: 0 Streets 0 Sidewalks <br />