City of Terrell Hills

Special Event Application

I understand that this notice shall be submitted at least 10 days prior to the actual event date. I also understand that any WALK/RUN event MUST be coordinated with the Chief of Police before a WALK/RUN event is approved.
Please enter the address or block where the event will be held.

Where the event will be held.

Please enter the name of the person hosting this event.

Please supply the name and all information for the Contact Person in charge of this event.
Please enter the name of the person in charge of the event.

Please enter the contact person's address.

Please enter the contact person's city.

Please enter the contact person's state.

Please enter the contact person's ZIP code.

Please enter the contact person's phone number.

Please enter the contact person's email address.

Please list the Dates of the event
Please select the start date of the event.

Please select the end date of the event.

Please list the Setup and Takedown times of the event. Setup time may not be any earlier than 6 AM. Takedown time must be completed by 11 PM.
Select time setup will begin.

Select time takedown will be complete.

Need a yes or no answer

Please describe this event in as much detail you can to help us consider this application completely.

Please give a complete description of this event.

TRAFFIC & SECURITY
We need to know if city streets will be blocked.

We need to know if any amplified sound will be used.

Please describe the sound setup for this event

Please describe the sound setup for this event.

The number of estimated attendees at this event...
Please let us know how many attendees are expected.

FOOD & ALCOHOL
We need to know if food will be served.

We need to know if alcohol will be served.

The person submitting this form...
Name of person filling out this form

Check this as an indication of the submitter's signature.

Select today's date for this application being submitted.

LIABILITY RELEASE STATEMENT
By checking the box below, I, as the Event Coordinator for the above referenced special event, hereby agree as a condition of permit application and/or issuance, to protect, defend, indemnify and hold harmless the City of Terrell Hills, it's officers, agents and employees from all liability, loss and expenses, including attorney fees, that the City of Terrell Hills, it's officers, agents and employees may incur by reason of this special event.

I acknowledge that the City of Terrell Hills will rely upon the execution of this indemnity as a condition precedent to the issuance of any event permit, and would not issue the permit but for the execution of this indemnity.
Check this as an indication of the submitter's signature.

Please enter the event coordinator's address.

Please enter the event coordinator's phone number.

Please select the date this is being signed.

You must check the box.