City of Eureka Springs

Special Event Application

INSTRUCTIONS:

(1) Please fill out Section One and every section thereafter that applies to your Special Event. Any application that is not complete will not be considered as having been filed within the time limits set out below.

(2) Sign, date and return the form to City Hall as follows:

a. If your proposed event is a one-day event: not less than 15 days prior to the event

b. If your event will last more than one day: not less than 90 days prior to the event.

(3) Your application will be reviewed and you will be notified of a decision as follows:

a. If your proposed event is a one-day event: within 3 business days after your application has been filed.

b. If your proposed event will last more than one day: within 10 business days after your application has been filed.

SECTION ONE:

Name of Event Producer/Promoter___________________________________________

Type of Organization: _____non-profit _____profit _____charitable _____government

Contact Person ___________________________________________________________

Address _________________________________________________________________

_________________________________________________________________

Home Phone ____________________ Work Phone ______________________

Email Address ____________________________________________

Cell-Phone _________________

Event Name _____________________________________________________________

Date(s) Requested ________________________________________________________

Hours of Event: Date:__________ Start ________am/pm End _________am/pm

Date: _________ Start ________am/pm End _________am/pm

Date: _________ Start ________am/pm End _________am/pm

(if your proposed event will last longer than 3 days, please use additional pages to describe the hours for those days)

Location of Event ____________________________________________________________

Brief Description of Event:

Number of Expected Participants/Attendees: _________________________________________

Have you had this event previously? _____Yes _____No

If Yes, when:____________________________________________________________

SECTION TWO:

PARADE(S)? ______ Yes _____No (if no skip this section)

Who and how many will participate?

Plan of Route? (describe below or attach)

Parade Time: Date:__________ Start ________am/pm End _________am/pm

Set-up: Date: _________ Start ________am/pm End _________am/pm

Proposed Staging Area:_______________________________________________

Rain Date, if any: __________________________________

DEPARTMENTAL REVIEW - PARADES

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION THREE:

RETAIL SALES? _____Yes _____No (if no skip this section)

How many vendors do you hope to accommodate? _________________

Type of vending units (include number of each):

_______Clothing ________Food/Beverage ________Jewelry ________Other

Please describe the “other” vendors you propose to accommodate:

SECTION FOUR:

BANNERS? _____Yes _____No (if no skip this section)

Location(s):_______________________________________________________

Size _____________________________________________________________

Type of Banner ____________________________________________________

Wording on Banner:

Duration of use ____________________________________________________

DEPARTMENTAL REVIEW - BANNERS

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION FIVE:

SANITATION? Will you be using City services for refuse, garbage and litter?

_____Yes

How many additional receptacles do you need? ___________

_____No (if no state how you will be handling the removal of refuse, garbage and litter)

DEPARTMENTAL REVIEW - SANITATION

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION SIX:

PORTABLE TOILETS? _____Yes _____No (if no skip this section)

How many portable toilets will be you providing? ___________

How many will be ADA compliant? __________

Where will they be located:

Name of company providing portable toilets: _________________________________

DEPARTMENTAL REVIEW – PORTABLE TOILETS

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION SEVEN:

SECURITY? Will you be using additional security? _____Yes _____No

(if no skip this section)

What are your plans for providing additional security?

DEPARTMENTAL REVIEW – SECURITY

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION EIGHT:

EMERGENCY FIRE/MEDICAL SERVICES?

What do you see as your need for added Fire/EMS protection during your event?

DEPARTMENTAL REVIEW – EMERGENCY FIRE/MEDICAL SERVICES

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION NINE:

TRAFFIC/TRANSPORTATION/PARKING?

(if your event will not impact traffic, parking or transit please skip this section)

Will normal traffic/parking patterns be altered by the event? _____Yes _____No

Explain if yes:

Are you planning to provide shuttle service? _____Yes _____ No

Explain:

DEPARTMENTAL REVIEW – TRAFFIC/TRANSPORTATION

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION TEN:

TEMPORARY STRUCTURES? Will you be using temporary structures?

_____Yes _____No (if no skip this section)

If Yes, please describe type and location in detail:

DEPARTMENTAL REVIEW – TEMPORARY STRUCTURES

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

SECTION ELEVEN:

OUTDOOR ENTERTAINMENT? _____ Yes _____ No (if no skip this section)

Do you plan to use a sound system? _____ Yes _____ No

If yes, explain in detail:

Does the location for this event have outdoor seating? _____ Yes _____No

DEPARTMENTAL REVIEW – OUTDOOR ENTERTAINMENT

Fire ____________ Comments_____________________________________________

Police ____________ Comments_____________________________________________

P.W. ____________ Comments_____________________________________________

Transit ____________ Comments_____________________________________________

I UNDERSTAND THIS IS AN APPLICATION ONLY AND DOES NOT OBLIGATE THE CITY TO ISSUE A SPECIAL EVENT PERMIT.

Signature of Applicant __________________________________________________________

Title of Applicant ______________________________________________________________

Date of Application: ________________________________

For City Use Only:

Received by ______________________________________________ on __________________

Application approved by: ___________________________________ on ___________________

Mayor or City Clerk

Fee Paid One Day $25 ___________________ More than one day $50 _________________

Fee Received By _______________________________________ on ____________________

Application denied by: ___________________________________ on ____________________

Mayor or City Clerk

Reason for denial _______________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

CITY OF EUREKA SPRINGS

PARKING LOT USE PERMIT

The Eureka Springs City Council voted unanimously April 25, 2005, to permit the daily rental of the city’s parking lots in the area between the Western District Carroll County Courthouse and the City Auditorium and the westerly half of the area between the Basin Spring Bath House and the Greenlee Funeral Home Building, both on Main Street. The fee is set at $3 per space per day. There is a total of 48 spaces in the “Courthouse” lot and 36 spaces in the “Bath House” lot. FEE IS TO BE PAID BEFORE THE EVENT

NAME _________________________________________________________________

ADDRESS____________________________________ Phone ___________________

CITY _______________________________ STATE ______________ ZIP _________

PHONE NUMBER(S) ____________________________________________________

NAME OF EVENT _______________________________________________________

DATE(S) OF EVENT ____________________________________________________

TIME(S) OF EVENT _____________________________________________________

PARKING LOT SPACES REQUESTED: Courthouse lot _______ Bath House ______

HOW MANY DAYS ___________ Spaces _______ X $3 X Days = _______________

RENTAL OF SPACES APPROVED _________ FEE COLLECTED _______________

RENTAL OF SPACES DENIED _______________ REASON __________________

_______________________________________________________________________

APPROVED BY __________________________________ DATE ________________

Mayor or City Clerk

DENIED BY _____________________________________ DATE ________________

Mayor or City Clerk

A copy of this signed permit shall be given to the applicant

and to the Eureka Springs Police Department.

SPECIAL EVENT PERMIT

ISSUED BY CITY OF EUREKA SPRINGS

To _____________________________________________________________

For (Name of Festival) _____________________________________________

Date of Festival ___________________________________________________

Fee Paid _____________ Festival approved by _______________________

This page is to be copied and the copy given to the applicant.