Harmony

Application for Special Events Permit

Apply online to obtain a Special Event Permit

This form must be submitted at least fifteen (15) working days before the event.

RESERVATION RULES

No alcohol may be sold.

By signing this form, we agree to remove all props and items brought into the public areas and clean up all litter and debris that result from our event the same day as the event.

By signing this application, the applicant agency or responsible individual agrees to comply with all municipal ordinances, rules, regulations, and other applicable laws of the Town of Harmony; to save and keep the Town free and harmless from any and all loss or damages or claims for damages, including attorney’s fees and litigation costs, arising from or out of the special event; and can provide proof of adequate liability insurance coverage (amount determined by specific event).

Application Date:

Date(s) of Event:

Rain Date:

Area Requested for Use/Streets to be Blocked:

On & Off Site Parking Plan:

Event Name:

Event Description:

Public Event? Yes / No:

Yes

(If not a public event, who is participating?):

Event Time (includes prep and cleanup time):

Number of People Expected to Attend:

Is Music Involved? Yes / No:

Yes

(If music is involved, describe the manner of sound amplification):

Describe Props or Structures Used for Event:

Detailed Listing of Planned Activities:

Is the Event a Fund Raising Project? Yes / No:

Yes

Will Food be Sold/Served? (No alcohol may be sold/served) Yes / No:

Yes

(If yes, type the Food Vendor Name):

Name of Organization:

Name of Event Representative:

Organization or Representative Mailing Address:

Home Phone:

Cell/Daytime Phone:

E-mail Address:

Name/Number of Contact during Event:

Signature of Event Representative (type your name):

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