2. 

4. _{**Please complete this application on a computer.}

6. Parks and Recreation Special Events Permit Application

8. The information requested on this form will be used to determine your eligibility for a Special Event Permit with the City of Jonesboro Parks and Recreation Department. This form must be filled out to it's entirety in order to proceed.

   Special Event Permits are required for events that are exclusive to the City of Jonesboro Parks facilities and ONLY affect the park and/or park facilities. Such events include, but are not limited to: walk-a-thons, athletic tournaments, festivals, and/or other organized activities.

   Other qualifying events include, but are not limited to:
   • Events that are advertised and/or are open to the public
   • Events with a participation fee
   • Events that go beyond the scope of "normal" park use
   • Training runs or walks of 30 or more people
   • Non-profit organizations or individuals sponsoring smaller and/or on-going classes or programs
   • Events that require partial or exclusive use of an area of a park or park's facility.

   Other qualifying activities include, but are not limited to:|
   • Use of amplified music
   • Use of PA systems
   • Bands or Disk Jockeys
   • Use of bounce houses
   • Large tents (20'x20' and larger)
   • Outside catering companies or food trucks
   • Any event involving the sale of food or other items
   • Races, fishing tournaments, sports, or other organized competitions
   • Any event where tickets are sold or fees are charged for participants
   • Weddings

   If you are not sure if your event requires this permit or not, please contact our Administration Office at (870) 933-4604.

   Please NOTE: New events must submit their application AT LEAST 90 days prior to the event.

   Repeat events must submit their application AT LEAST 60 days prior to the event.

   ** Special COVID -19 Information
   The City of Jonesboro Parks and Recreation Department reserves the right and maintains sole discretion over the decision to cancel or postpone any event held in/on City Parks property at any time due to COVID-19.

10. 1.) Who is the primary contact for the event?
12. First Name*
13. Last Name:*
15. Phone Number*
17. Address1*
19. Address2
21. City*
22. State*
23. Zip*
25. 2.) Who is the secondary contact for the event?
27. First Name*
28. Last Name*
30. Address1*
32. Address2
34. City*
35. State*
36. Zip*
38. 3.) What is the name of your Organization or Group? (if applicable) If your Organization is a 501(c)(3) non-profit, include your EIN/Tax ID Number. *

    Type NA if non-applicable.

40. 4.) What will be the Title / Name of your Event?*

     

42. 5.) What is the requested location and address for your event? *

    Examples: Joe Mack Campbell Park, Craighead Forest Park 5K Trail, etc.

44. 6.) What are the requested facilities for your event?*

    Include exact areas - Pavilion 5, Gazebo, 5k Trail, West Court, Field, etc.

    ***NOTE: facilities must be available and reserved by applicant prior to the approval of this application

46. 7.) What is your event's requested date?*
48. 8.) If your requested date is not available, what is another date you would like to host your event?*
50. 9.) What will be the event's start and end time?*
52. 10.) What time will your set-up for your event begin?*
54. 11.) What time will clean-up for your event end?*
56. 12.) What is the estimated number of participants' attendance per day?*

    Examples: teams, volunteers, staff, etc.

58. 13.) What is the anticipated spectators' attendance per day?*
60. 14.) Describe your event and the planned activities in detail.*
62. 15.) What is the name of the Insurance Company providing Certificate of Insurance and Endorsement Page for the event?*

    Type NA if non-applicable.

64. 16. Has your Organization held this event in the past?*

    If yes, where and when?  

66. 17.) Is this event a fundraiser for your organization?*

    If yes, what is the name of the individual recipient / Organization recipient?

68. 18.) Will drones be used during this event?*
70. If yes, please upload a copy of the drone operator's license (PDF ONLY)

    Save any document as a PDF file first, then upload

    
    

71. Drone Operator's Phone Number*

    Type NA if non-applicable.

73. 19.) Will you have private security on site during your event?*

    If yes, list the name of the individual, their phone number, and name of company they work for if applicable.

75. 20.) Will items be left overnight?*

    If yes, list the items in detail and where they will be left.

    **NOTE - any propane or other hazardous chemicals must be constantly attended

77. 21.) Will food be served?*
79. 22.) Will food, merchandise, or services be sold?*

81. **If yes, you must upload a Vendor List and copy of City Privelege License

83. Vendor List (PDF Only)

    Save any document as a PDF file first, then upload.

84. City Privilege License (PDF Only)

    Save any document as a PDF file first, then upload.

86. 23.) Will there be any type of sound system used?*

    If yes, list type(s).  Examples: loudspeaker, bullhorn, portable loudspeaker with built-in microphone and amplifier, DJ setup, etc.

88. 24.) Will there be any other temporary structures used in conjunction with your event?*

    If yes, list the type, size, quantity, and location(s) for each structure.  Examples: stage, large tents, bleachers, inflatables, etc.

90. 25.) Will the event require use of any parking lots as staging areas or additional spectator parking?*

    If yes, list the lots, hours, and areas to be used.

92. 26.) Will there be animals?*

    If yes, list the type and quantity.

94. 27.) Will there be fireworks, open flames, pyrotechnics, or fire art performances?*

    If yes, explain.

96. 28. Please list any other details or pertinent information you feel we need to know about your event.*
98. City of Jonesboro Parks and Recreation Department Special Event Permit Terms and Conditions

    Special Event Permits, when approved, shall be issued subject to the following provisions:

    1.   All activities and arrangements for advance preparations within the above named unit, shall be at the direction of the City of Jonesboro Parks and Recreation Director.

    2.   Rules and regulations of the City of Jonesboro and City of Jonesboro Parks and Recreation Department unless specifically exempted or otherwise noted shall be observed by the applicant(s), employees, agents, and/or contractors.

    3.   The only special activities granted to the applicant(s) herein are those which are listed in writing on the permit.

    4.   No structures or sets may be constructed unless specifically provided for and described in writing, no digging or excavation is permitted, and no shrubbery or trees are to be cut, trimmed or injured. No additions, alterations, modification, or decorations may be affixed to any Parks and Recreation facilities without specific written approval from the City of Jonesboro Parks and Recreation Director.

    5.   Fires will not be permitted except upon the specific written approval from the City of Jonesboro Parks and Recreation Director and under specific direction.

    6.   Vehicles under the authority of the applicant(s) will be parked in areas designated by the City of Jonesboro Parks and Recreation Director.

    7.   Applicant(s) will control all traffic and vehicles associated with the event as directed by the City of Jonesboro Parks and Recreation Director.

    8.   Applicant(s) will maintain the permitted area in a clean and sanitary condition and will restore the area to the condition in which it was received to the satisfaction of the City of Jonesboro Parks and Recreation Department.

    9.   Applicant(s) will repair or be billed at the discretion of the City of Jonesboro any and all damage to the park facility or any City property which was a result of the applicant(s) activities. The City of Jonesboro will be the sole judge of the extent of damage and the extent of repairs required to remedy the damage. All repairs will be performed to the satisfaction of the City of Jonesboro.

    10.   The City of Jonesboro may require at its discretion, the following special conditions:

    a. Fire control measures and additional firefighting equipment to be furnished by.
    b. First-aid service to be supplied by applicant(s), including ambulance service, doctors or nurses.
    c. Additional police protection and/or traffic control personnel. Policing of the event will be provided by applicant(s) and at own expense.
    d. Parking arrangements required for applicant(s) operating personnel.
    e.  Additional sanitary facilities as required by the City of Jonesboro Parks and Recreation Director. Sanitary facilities over and above those furnished by the City of Jonesboro may be provided by applicant(s) and at own expense. The applicant(s) may be charged a fee based on the number of hours and job classification of City personnel required to meet any special condition.

    11.   Unless otherwise specified on the Special Event Permit, the City of Jonesboro agrees to provide the following services, if available or appropriate.

    a. Maintain public restrooms.
    b. Provide fresh water.
    c. Provide electricity.
    d. Provide garbage cans and remove refuse.
    e. Clean all areas prior to occupancy by applicant(s)

    12.   The applicant(s) may be charged a permit fee in addition to normal park fees, based on costs incurred by the City of Jonesboro, size and scope of the event, and prevailing fees for commercial facilities in the locality.

    13.   Depending on circumstances and probability of occurrence, the applicant(s) may be charged a damage deposit as determined by the City of Jonesboro Parks and Recreation Director. Costs for damage repair and any fines or penalties for noncompliance with permit conditions will be deducted from this deposit. The City of Jonesboro Parks and Recreation Director shall determine if all or only a portion of the deposit is refundable.

    14.   The City of Jonesboro Parks and Recreation Director may terminate without prior notice any special event activity when it is necessary for the safety and enjoyment of the public for the protection of resources, or for violation of any rules or regulations of the Department of Parks and Recreation or conditions of this permit. In addition, any Special Event Permit may be cancelled without notice in the event of disaster or unforeseen emergency.

    15.   It is an express condition of this permit that the City of Jonesboro, its officers, agents and employees shall be free from any and all liabilities and claims for damages and/or suit for or by reason of any death of or injury or injuries to any person or persons or damages to property of any kind whatsoever, whether the person or property of the applicant(s), its agents or employees, or third persons, from any cause or causes whatsoever while in or upon said premises or any part thereof during the term of this permit or occasioned by any occupancy or use of said premises or any activity carried on by the applicant(s) in connection therewith; and the applicant(s) hereby covenants and agrees to indemnify and to save harmless the City of Jonesboro its officers, agents and employees from all liabilities charges, expenses (including counsel fees) and costs on account of or by reason of any such deaths, injury, liabilities, claims, suits, or losses however occurring or damage growing out of same.

    16.   For events having greater potential hazard or liability to the City of Jonesboro than is incurred through typical daily park activities, the applicant(s) will be recommended to provide the City of Jonesboro Parks and Recreation Director with a certificate of insurance with required endorsements as proof of liability insurance coverage. The policy will cover the period of the permit and will be in an amount no less than one of the following as determined by the City of Jonesboro Parks and Recreation Director:

    •  Public Liability $300,000 each person, $500,000 each occurrence. Property Damage Liability and Products Damage Liability $200,000; OR
    •  Combined single limit (CSL) $500,000 per occurrence; OR
    •  Combined single limit (CSL) $1,000,000 per occurrence.

    Insurance policies shall be underwritten to the satisfaction of the City of Jonesboro and shall contain the following special endorsement:

    City of Jonesboro, its officers, employees, and servants are included as additional insured but only insofar as operations under this contract or permit are concerned;

    The insurer will not cancel or reduce the insured's coverage during the period that this permit is in effect or without 30 days prior written notice, whichever is shorter, to state.

    This cancellation provision shall not be construed in derogation of the duty of the applicant(s) to furnish insurance during the entire term of the permit.

    17.   The parties signing this contract for the Organization agree that they each have the full power, right and authority to bind their respective entities.

    
    

    I, THE APPLICANT(S) have read and understand all the conditions above. By signing below I also acknowledge that failure to comply with all of the conditions ultimately places my application for my special event permit in jeopardy of being cancelled and potential loss of refund for reservation event.

    
    

100. Electronic Signature*

     Type First Name, Middle Initial, Last Name

101. Date*

103. I, THE APPLICANT(S) CERTIFY ALL INFORMATION ON THIS APPLICATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

105. Electronic Signature*

     Type First Name, Middle Initial, Last Name

106. Date*
Leave This Blank:


108. 1. Receive an email copy of this form.
109. Email address

     This field is not part of the form submission.

110. Submit

* indicates a required field