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City of Jonesboro Special Events Application

City of Jonesboro Special Events Application
**Please complete this form on a computer.**
IMPORTANT!
Special Event Permit Information (PDF)
*Please open and read the Special Event Permit Information PDF document at the above link prior to completing the City of Jonesboro Special Events Application form.
The City of Jonesboro has enacted an ordinance for assemblies, demonstrations, special events and parades. The information required on this form is consistent to the enacted City ordinance. The information requested by the application form will be used to determine your eligibility for the special event permit request. Please type or print clearly. The event will not be considered for approval until the entire application and all of its parts are received. Applications are due to the Jonesboro Police Department Records Division (1001 S. Caraway Road), no later than 45 days prior to the proposed parade or special event and no sooner than 180 days prior to the proposed parade or special event.
Electronic Signature:*
I have read and understand the policies and conditions.
Choose One:*
1. Parade / Special Event
2. Assembly
Event:*
Date of Application*
Requested Event Date:*
1st Choice
Requested Event Date:*
2nd Choice
Sponsored by:*
Oraganizer's Contact Information
Primary Contact:
First Name*
Last Name*
Address1*
Address2
City*
State*
Zip*
Email:*
Home Phone:*
Work Phone:
Secondary Contact:
First Name
Last Name
Address1
Address2
City
State
Zip
Email*
Home Phone:*
Work Phone:
Requested Areas (Check all that apply):*
1. City Streets
2. Parking Lots
3. Other
Exact Location for the Event:*
Event Hours:
Exact Event Times -- From:*
To:*
Set-Up Start Time:*
Clean-Up End Time:*
Anticipated Attendance Per Day:
Participants (Volunteers, Staff, Etc):
Spectators:
FOR OFFICE USE ONLY
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Hold Harmless Agreement

Hold Harmless Agreement
If your event application is approved, a signed copy of the below Hold Harmless Agreement must be submitted prior to the start of the event.
All permits and/or applications are conditional upon all City and state agency requirements. Approved permits will be revoked prior to the event if conditions are not met.
Initials*
I have read the above statements and the below agreement and understand my responsibilities and rights.
(Legal Name of Business/Organizer Exactly as it Appears on Certificate of Insurance, if Applicable)
shall defend and hold harmless the City of Jonesboro, its officers, employees, agents, and representatives thereof, harmless from all suits, actions, claims of any kind, including attorney’s fees, brought on account of any personal injuries, damages, or violation of rights sustained by any person or property in consequence of any on behalf of
(Legal Name of Business/Organizer),*
while their personal property is situated on City property.
(Legal Name of Business/Organizer)*
shall further hold the City of Jonesboro harmless from any claims or amounts arising from violation of any law, bylaw, ordinance, regulation or decree.
Legal Name of Business/Organizer (as it Appears Above):*
By (Electronic Signature):*
Type First Name, Middle Initial & Last Name
Title*
Address1*
Address2
City*
State*
Zip*
Electronic Signature:*
Type Name
Date:*
Comments / Special Considerations:
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City of Jonesboro Special Events Application

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City of Jonesboro Special Events Application

*Please open and read the Special Event Permit Information PDF document at the above link prior to completing the City of Jonesboro Special Events Application form.

Hold Harmless Agreement

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