Special Events Permit Name of Event(Required)Applicant's Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Name(Required) First Last Email(Required) Phone(Required)Date of Event(Required) MM slash DD slash YYYY Start Time(Required) Hours : Minutes AM PM AM/PM End Time(Required) Hours : Minutes AM PM AM/PM Will roads be closed?(Required) Yes No List Roads and Closing and Opening TimesWill temporary signs/directional signs be used?(Required) Yes No List address and placementHave police be notified?(Required) Yes No Provisions for policing & traffic control?(Required) Yes No Provisions to carried out by:Description of Sanitary Facilities Available:(Required)Upload Special Event Insurance Certificate and Route Map(Required) Drop files here or Select files Max. file size: 50 MB. Application must be submitted 45 days in prior to event date in order to guarantee timely approval and notify businesses and residents of the upcoming event. A Special Even Permit fee of $20 payable to the City of Hurstbourne must accompany this application. Applicant agrees to indemnify the City of Hurstbourne and provide an insurance certificate listing the City of Hurstbourne as an additional insured. The Applicant also shall hold the City of Hurstbourne harmless of any and all liabilities associated with the special event.CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
