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City of South Bend Special Event Application <br />City and Regional Event <br />.0C $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 Bring Completed Application and Payment ty <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: 4/15/25 Organization Name: City of South Bend Venues Parks & Arts <br />Applicant (Contact) Name: Olivia Sanchez <br />Applicant (Contact) Phone: 574-235-5544 <br />Address: 301 Saint Louis BLVD <br />Email: osanchez@southbendin.gov <br />City/State/ZIP: South Bend/ Indiana/ 46614 <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/ZI <br />Event Type: (Festival, Race. Parade, Other): Race <br />Event Classification: ® Non -Profit' Cl 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 done at Washington High School <br />Date of Event Setup [mm/dd/yy1: 07/18/2025 <br />Begin Date of Event (mm/dd/yy]: 7/19/2025 <br />End Date of Event [mm/dd/yyl: 7/19/2025 <br />Event Cleanup Completion Imm/dd/yyj: 7/19/2025 <br />Total anticipated attendance: 400 <br />Time: 1:00 PM - 7:00 PM <br />Time: 5:00 AM <br />Time: 12,00 PM <br />Time: 12:00 PM <br />The proposed event will require the closing of: ® Streets ❑ Sidewalks <br />