Form Center

2. 
3. Park Permit Application
5. 540 West Hills Circle, Owatonna, MN 55060 507-444-4321
7. Event Details:
9. Date of Event:*
10. Location:*
12. Type of Event:
13. Event Name:
15. Event Description:*
17. Estimated Attendance:
19. Set Up Date & Time:
    Set Up Date & Time: Start Date

    Set Up Date & Time: Start Time

    —

    Set Up Date & Time: End Date

    Set Up Date & Time: End Time
21. Actual Event Date & Time:*
    Actual Event Date & Time: Start Date

    Actual Event Date & Time: Start Time

    —

    Actual Event Date & Time: End Date

    Actual Event Date & Time: End Time
23. Clean Up Date & Time:
    Clean Up Date & Time: Start Date

    Clean Up Date & Time: Start Time

    —

    Clean Up Date & Time: End Date

    Clean Up Date & Time: End Time
27. Sponsoring Organization Contact Information
29. Sponsoring Organization:
31. Address:
33. City:
34. State:
35. Zip Code:
37. Primary Contact Name:*
39. Phone Number:*
40. Cell Phone Number:
42. Email Address:
44. Contact During Event:
45. Cell Phone Number:
47. Alternate Contact During Event:
48. Cell Phone Number:
52. Event Features:
54. Will signs or banners be put up?*

    1. Yes
    2. No
55. Number/type/size:*
57. Will there be any inflatables?*

    1. Yes
    2. No
58. Number/type/size:*
60. User is required to call 811 for locates before staking or digging. Insurance certificate from rental vendor is required. Please initial for acknowledgement:*
62. Will there be entertainment?*

    1. Yes
    2. No
63. Type:*
65. Will sound amplification be used?*

    1. Yes
    2. No
66. Type:*
68. Will stage or tent be set up?*

    1. Yes
    2. No
69. Number/type/size:*
71. User is required to call 811 for locates before staking or digging. Insurance certificate from rental vendor is required. Please initial for acknowledgement:*
73. Will there be temporary fencing?*

    1. Yes
    2. No
74. Type/size:*
76. User is required to call 811 for locates before staking or digging. Fee may apply. Please initial for acknowledgement:*
78. Will the event need barricades?*

    1. Yes
    2. No
79. Number:*
81. Fee may apply. Please initial for acknowledgement:*
83. Will extra picnic tables be needed?*

    1. Yes
    2. No
84. Number:
86. Will portable restrooms be brought in?*

    1. Yes
    2. No
87. Number:*
89. Portable restrooms will NOT be provided by the Park & Rec Department. You may contact our office at 507-444-4321 for information on renting portable restrooms. Please initial for acknowledgement:*
91. Will extra trash receptacles be needed?*

    1. Yes
    2. No
92. Number:*
94. Fee may apply. Please initial for acknowledgement:*
96. Will Central Park Stage be used?*

    1. Yes
    2. No
98. A rental fee of $250 will be charged for using the stage. Please initial for acknowledgement:*
100. Time stage needs to be opened:*
     Time stage needs to be opened:
101. Time stage needs to be closed:*
     Time stage needs to be closed:
103. Will a sound/light person be needed?*

     1. Yes
     2. No
104. Type and size of group on stage:*
106. Provide any documents (flyers, event details) pertaining to event/activity:
108. Please provide any other pertinent information:
112. The sponsor(s) of this event hereby agrees to save the City, its agents, officials and employees harmless from and against all damages to persons or property, all expenses and other liability that may result from this activity. Depending on the size and scope of the event a Certificate of Insurance may be required. If insurance is required, the policy must be kept in force during the event of at least the statutory limits for municipalities covering claims that might be brought against the event that arise out of the events authorized and to name the City as an additional insured on their policy “as their interest may appear.” As the sponsor or authorized representative, I certify that the information provided is true to the best of my knowledge and agree to pay the permit fee for this event based upon the information provided in this application. I realize my submittal of this request constitutes a contract between myself and the City of Owatonna and is a release of Liability.
114. Type Name for Electronic Signature:*
115. Date:*
     Date:
Leave This Blank:


117. 1. Receive an email copy of this form.
118. Email address

     This field is not part of the form submission.

119. Submit

* indicates a required field