City of Terrell Hills - Special Event Application

I understand that this notice shall be submitted at least 10 days prior to the actual event date. I also understand that any WALK/RUN event MUST be coordinated with the Chief of Police before a WALK/RUN event is approved.

Address or Block*

Please enter the address or block where the event will be held.

Where the event will be held.

Name of Person Hosting Event*

Please enter the name of the person hosting this event.

Please supply the name and all information for the Contact Person in charge of this event.

Name*

Please enter the name of the person in charge of the event.

Street Address*

Please enter the contact person's address.

City*

Please enter the contact person's city.

State*

Please enter the contact person's state.

ZIP Code*

Please enter the contact person's ZIP code.

Phone

Please enter the contact person's phone number.

Email*

Please enter the contact person's email address.

Please list the Dates of the event

Start Date of Event*

Please select the start date of the event.

End Date of Event*

Please select the end date of the event.

Please list the Setup and Takedown times of the event. Setup time may not be any earlier than 6 AM. Takedown time must be completed by 11 PM.

Setup time to begin at*

Select time setup will begin.

Takedown time to be completed by*

Select time takedown will be complete.

Is this an Annual Event?*

YesNo Need a yes or no answer

If yes, how many years? (include this year)

Event Description*

Please describe this event in as much detail you can to help us consider this application completely.

Please give a complete description of this event.

TRAFFIC & SECURITY

Will any city streets be blocked?*

YesNo We need to know if city streets will be blocked.

If yes, how many barricades are needed?

Will amplified sound be used?*

YesNo We need to know if any amplified sound will be used.

If yes, please describe the sound setup.

Please describe the sound setup for this event

Please describe the sound setup for this event.

The number of estimated attendees at this event...

Number of Attendees*

Please let us know how many attendees are expected.

FOOD & ALCOHOL

Will food be served on site?*

YesNo We need to know if food will be served.

Will alcoholic beverages be consumed on site?*

YesNo We need to know if alcohol will be served.

The person submitting this form...

Name*

Name of person filling out this form

Signature*

Yes, I as the Application Submitter signed this formNo Check this as an indication of the submitter's signature.

This is being submitted on:*

Select today's date for this application being submitted.

LIABILITY RELEASE STATEMENT

By checking the box below, I, as the Event Coordinator for the above referenced special event, hereby agree as a condition of permit application and/or issuance, to protect, defend, indemnify and hold harmless the City of Terrell Hills, it's officers, agents and employees from all liability, loss and expenses, including attorney fees, that the City of Terrell Hills, it's officers, agents and employees may incur by reason of this special event.

I acknowledge that the City of Terrell Hills will rely upon the execution of this indemnity as a condition precedent to the issuance of any event permit, and would not issue the permit but for the execution of this indemnity.

Signature*

Yes, I as the Event Coordinator sign this form.No Check this as an indication of the submitter's signature.

Event Coordinator's Address*

Please enter the event coordinator's address.

Event Coordinator's Phone*

Please enter the event coordinator's phone number.

Date of signature*

Please select the date this is being signed.

Prove It!*

You must check the box.

Special Event Application

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