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City of South Bend Special Event Application <br />o City and Regional Event <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 />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 />7/13/2021 Venues Parks & Arts <br />Date of Application: _______________ Organization Name:__. <br />Bridget Noonan <br />_ ---- _---------- _ ___ __ __ <br />_ <br />Applicant (Contact) Name:__ 9 <br />(574)235-5904 bnoonan@southbendin.gov <br />Applicant (Contact) Phone: __ Contact Email: <br />Address: <br />219 St_ Louis Blvd_ city/state/ZIP: South Bend, IN 46617___ <br />_ _ <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 />21 st Annual Kid's Triathlon Race <br />Event Name: __ Event Type: (Festival, Race, Parade, Other):_____`_ <br />__________________ <br />Event Classification: i Non -Profit' ❑ For -Profit <br />M 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 />This is a family friendly event to get children active and out in on eof the local parks. This is <br />offered for both boys and girls for ages from 5-14. All age groups will swim, run, and bike. <br />We will have music and other activities for them to enjoy as they finish their race. <br />Date of Event Setup [mm/dd/yy]: 7/31/2021, <br />Begin Date of Event [mm/dd/yy]: 7/31 /2021 <br />End Date of Event [mm/dd/yyl: 7/31/2021 <br />Event Cleanup Completion [mm/dd/yy]: 7/3112021 <br />Total anticipated attendance: 200 - ` <br />Time: 5:30 am <br />Time: 8'00 am <br />Time: 11:30 am <br />Time: <br />1.00 pm <br />__ <br />The proposed event will require the closing of: 0 Streets ❑ Sidewalks <br />