Form Center

Special Event Permit Application

2. Pemit Fee
   Applicant must call the Parks & Recreation Department at 616-949-1750 to pay the permit fee before the application will be processed. Your event date will not be secure until payment is received. We accept AMEX, Visa, MasterCard and Discover. Office hours are M-F 8:00 am to 5:00 pm.

   Applicant must call the Parks & Recreation Department at 616-949-1750 to pay the permit fee before the application will be processed. Your event date will not be secure until payment is received. We accept AMEX, Visa, MasterCard and Discover. Office hours are M-F 8:00 am to 5:00 pm.

4. This permit must be completed and submitted at least 60 days before the scheduled event. The Parks and Recreation Commission will review permit applications and are responsible for final approval.

   This permit must be completed and submitted at least 60 days before the scheduled event. The Parks and Recreation Commission will review permit applications and are responsible for final approval.

6. Name of Event*

7. Date of Event*
   Date of Event

9. Organization Sponsoring Event*

11. Event Start & End Time*
    Event Start & End Time Start Time

    —

    Event Start & End Time End Time

12. Event Website Address

14. Purpose and description of the event to be placed on City website for the general public to view.*

16. Event Contact Email Address*

18. Representative First Name*

19. Last Name*

21. Address1*

23. City*

24. State*

25. Zip*

27. Daytime Phone*

28. Cell Phone*

29. Email Address*

31. Alternative Representative First Name*

32. Last Name*

34. Daytime Phone*

35. Cell Phone

36. Email Address*

38. Will you have a medical service provider onsite?*

    1. Yes
    2. No

39. Running and other competitive events MUST have medical personnel onsite during the event.

    Name of medical service provider?

41. Estimated Number of Participants*

42. Estimated Number of Spectators*

43. Number of staff onsite during the event?*

44. Estimated Number of adult volunteers on duty?*

46. Event Location*

    Describe the location of the event and/or start and finish area if it is a race.

48. Does this event require road closures?*

    1. Yes
    2. No

49. Will you require Public Safety Officer involvement for your event?*

    1. Yes
    2. No

51. Special Event Permit Guidelines
    Click Here

53. 1. Map or layout of the event must be submitted before the application will be considered for approval.
    Highlight the course, route or location of the event on a map and upload using the link below.

    Highlight the course, route or location of the event on a map and upload using the link below.

55. File Upload

57. 2. All runs must have a lead and trail vehicle. Lead vehicle must have roof top signal with lights and a trail vehicle behind last participant.

59. 3. All events requiring road closures must alert residents along the route or race course at least one week in advance of the event.
    The information can be conveyed by going door to door, mailer, postcard, flier etc... The information should include name of event, contact person, date, start and end time, location, course map and a short description of the event. A copy of the information must be submitted to the Parks & Recreation Department for our records.

    The information can be conveyed by going door to door, mailer, postcard, flier etc... The information should include name of event, contact person, date, start and end time, location, course map and a short description of the event. A copy of the information must be submitted to the Parks & Recreation Department for our records.

61. 3. Applicant must submit proof of insurance in the following amounts at least 10 days prior to the event:
    Automobile public liability and property damage for owner and non-owner vehicles in the amount of ($300,000) per occurrence for personal injury and ($500,000) per occurrence for property damage. b. Public liability insurance with a minimum combined single limit of personal injury and property damage liability coverage: ($1,000,000). c. All insurance must name the City of East Grand Rapids and East Grand Rapids Public Schools as an additional insured.

    Automobile public liability and property damage for owner and non-owner vehicles in the amount of ($300,000) per occurrence for personal injury and ($500,000) per occurrence for property damage. b. Public liability insurance with a minimum combined single limit of personal injury and property damage liability coverage: ($1,000,000). c. All insurance must name the City of East Grand Rapids and East Grand Rapids Public Schools as an additional insured.

63. 4. The permit holder shall agree to clean the route or event site of any litter and trash caused by the event. If the permit holder fails or refuses to properly clean the site or course, thus requiring City Staff to perform further clean up; additional charges will be billed to the permit holder for services.

65. 5. If additional Public Safety or E-Unit personnel have to be called in to cover the event, charges will be billed to the permit holder for these services.

67. 6. If additional equipment or services are requested from one of the City Departments, a separate charge will be billed to the organizer. Permit holder should contact the specific department for individual department charges.
    Items may include barricades, road closed signs, cones, etc...

    Items may include barricades, road closed signs, cones, etc...

69. 7. When submitting a Special Event Permit application, a fee of $250 payable to the City of East Grand Rapids, must be paid before your date will be secured and your request placed on the Parks & Recreation Commission agenda. In the event this application is not approved the permit fee will NOT be refunded.

71. 8. A disclaimer statement is required on your registration/application form. Releasing the City of East Grand Rapids and East Grand Rapids Public Schools from all liability. Either by special reference to the City of East Grand Rapids and East Grand Rapids Public Schools or by a general disclaimer statement that would exclude the City as a host organization. A copy of your registration/application form, which contains the disclaimer statement, must be provided at least 10 days prior to your event.

73. Agreement*

    1. Signature Box

    Permit applicant hereby releases the City of East Grand Rapids, its officers, agents, and employees from all liability and waives any and all rights and claims for any and all injuries or damage to person or property, possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19 and accidents which may occur as a result of the use of City facilities. While particular rules and personal discipline may reduce this risk, the risk of injury, serious illness and death does exist. In addition, applicant agrees to indemnify the city, its officers, agents, and employees from and against any and all claims, judgments, losses, damages, demands, and legal proceedings arising out of or resulting from the use of City facilities. I understand that all information submitted to the City of East Grand Rapids is considered public information and subject to disclosure under the Freedom of Information Act. I, as the permit applicant, have read and agree to the above regulations and the Special Event Permit Guidelines. I understand that all information submitted to the City of East Grand Rapids is considered public information and subject to disclosure under the Freedom of Information Act. The City of East Grand Rapids reserves the right to cancel Special Events due to weather, unforeseen conditions or other valid reasons including COVID-19 Executive Order restrictions. Permit holders would be notified promptly if issues arise concerning the event.

75. Date Application Received
    Date Application Received

76. Reviewed By

77. Date Reviewed
    Date Reviewed

79. Permit Approval

    1. Approved
    2. Denied
    3. Pending

80. Approved By

81. Date Action Taken
    Date Action Taken

83. Reason

85. Comments

87. Copies sent to

    1. City Manager
    2. Public Safety

88. Items

    1. Permit Fee Paid
    2. Permit Fee Waived
    3. Insurance Received

    1. Confirmation Letter Sent
    2. Map Submitted or Verified
    3. Calendar Listing

Leave This Blank:


90. 1. Receive an email copy of this form.
91. Email address

    This field is not part of the form submission.

92. Submit

* indicates a required field