Type of Event Clause Samples

Type of Event. Run Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Event Title: Event Date(s): (month, day, year) (# of Participants # of Spectators ) Actual Event Hours: (from): AM / PM (to): AM / PM Location / Staging Area: Set up/assembly/construction Date: Start Time: AM / PM Please describe the scope of your setup / assembly work (specific details): Dismantle Date: Completion time: AM / PM List any street(s) requiring closure as a result of this event. Include street name(s), day, date and time of closing and time of re-opening: ⮚ Any request involving 25 or less motor vehicles will utilize Deadwood Street and will be barricaded at both ends of Deadwood Street. ⮚ Any request involving 25-50 motor vehicles (not including motorcycles) - will park on the north side of Main Street, which will not require street closure. ⮚ Any request involving 50 or more vehicles (which would require an entire street closure From Wall Street to Shine Street and security must be provided at Shine Street and Main Street and Wall Street and Main Street to direct traffic. ⮚ Additional security maybe required at the discretion of the Event Committee. Commercial (for profit) Noncommercial (nonprofit) Sponsoring Organization: Chief Officer of Organization (NAME): Applicant (NAME): Business Phone: ( ) Address: (city) (state) (zip code) Daytime phone: ( ) Evening Phone: ( ) Fax #: ( ) Please list any professional event organizer or event service provider hired by you that is authorized to work on your behalf to produce this event. Name: Address: (city) (state) (zip code) Contact person “on site” day of event or facility use Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) Is your organization a “Tax Exempt, nonprofit” organization? If YES, you must attach a copy of your IRS 501C Tax Exemption Letter to this Special Event Permit application (providing proof and certifying your current tax exempt, nonprofit status). Are admission, entry, vendor or participant fees required? If YES, please explain the purpose and provide amount(s).: Please provide a detailed description of your proposed event. Include details regarding any components of your event such as use of vehicles, animals, rides or any other pertinent information about the event: Does the event involve the sale or use of alcoholic beverages? If YES, please provide your liquor liability insurance information to the last page of this applicati...

Type of Event. Run Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Outlaw Square Shootout - July 20, 2024 Event Title: July 20, 2024 Event Date(s): (month, day, year) Total Anticipated Attendance: (# of Participants 250 # of Spectators 200 ) Actual Event Hours: (from): Outlaw Square AM / PM (to): AM / PM Location / Staging Area: Set up/assembly/construction Date: Start Time: AM / PM Please describe the scope of your setup / assembly work (specific details): Setting up mats on turf, stage bleachers, bike gates around perimeter, tents on Deadwood St. Dismantle Date: Completion time: AM / PM List any street(s) requiring closure as a result of this event. Include street name(s), day, date and time of closing and time of re-opening: Deadwood St closure - July 20 - 6 am until Midnight, July 21 ⮚ Any request involving 25 or less motor vehicles will utilize Deadwood Street and will be barricaded at both ends of Deadwood Street. ⮚ Any request involving 25-50 motor vehicles (not including motorcycles) - will park on the north side of Main Street, which will not require street closure. ⮚ Any request involving 50 or more vehicles (which would require an entire street closure From Wall Street to Shine Street and security must be provided at Shine Street and Main Street and Wall Street and Main Street to direct traffic. ⮚ Additional security maybe required at the discretion of the Event Committee.

Type of Event. Community event (i.e. Board approved and all IG and CR residents invited) Official HOA Board/committee meeting or program Title of Event required for web site calendar:

Type of Event. Run Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Event Title: Event Date(s): Total Anticipated Attendance: (# of Participants 20 # of Spectators ) Actual Event Hours: (from): Outlaw Square 9:30 pm AM / PM (to): AM / PM Location / Staging Area: Set up/assembly/construction Date: Start Time: AM / PM Please describe the scope of your setup / assembly work (specific details): Loading and unloading of production and band equipment Dismantle Date: Completion time: AM / PM List any street(s) requiring closure as a result of this event. Include street name(s), day, date and time of closing and time of re-opening: Deadwood Street from Main to Pioneer Way - July 2, 2023 - Closing at 8 am ⮚ Any request involving 25 or less motor vehicles will utilize Deadwood Street and will be barricaded at both ends of Deadwood Street. ⮚ Any request involving 25-50 motor vehicles (not including motorcycles) - will park on the north side of Main Street, which will not require street closure. ⮚ Any request involving 50 or more vehicles (which would require an entire street closure From Wall Street to Shine Street and security must be provided at Shine Street and Main Street and Wall Street and Main Street to direct traffic. ⮚ Additional security maybe required at the discretion of the Event Committee.

Type of Event. Estimated # of Guests: Area(s) To Be Used: Community Room Catering Kitchen Entertainment: Yes_ No Type/Entertainment Name: Caterer Present: Yes No Type/Caterer Name: Rental Fee: Please circle selection & enclose two (2) separate checks to: “Villages at Poquonock HOA” Community Room: $100 Catering Kitchen: $50 Full Facility Rental: $125

Type of Event. □ Meeting/Conference □ Party/Live Music □ Other: □ Meal/Banquet Space Requirements: □ The Red Barn □ Kitchen Estimated □ Less than 50 □ 50 – 75 □ Back Deck □ Lawn Attendance: □ 75 – 100 □ 100 – 120 □ Other: □ 120 – 150 Title of Event: (Be as Specific as Possible) Would you like the title displayed publicly? □ Public □ Private Time: Event Start Time: Event End Time: Set-Up Time: Tear-down Time: Set Up Needs: □ Black Chairs (150 max) Qty: □ White Chairs (120 max) Qty: (fee apply) □ Round Tables (15 max) Qty: □ Rectangle Tables Qty: □ Podium □ Linens (fee apply) □ Parking Signs (fee applies) □ Other:

Type of Event. Special Event-City Owned Property Special Event-Non-City Owned Demonstration Block Party Concert / Festival ▇▇▇▇ ▇▇▇▇ Community Center ▇▇▇▇ ▇▇▇▇▇ Regional Park ▇▇▇ ▇▇▇▇▇▇▇▇ Community Center Captains House Other Organization/Applicant Name: Applicant Address: Contact Person (if different from Applicant): Telephone: Email: Email: Telephone: Name / Title of Event: Description of Event: Anticipated Number of Attendees: Open to the Public: Yes No Will you be charging an admission fee: Yes No Date(s) of Event: If yes, how much?: Setup Start Time: Break Down Time: Event Start Time: Event End Time: Will you be requesting any road closures? Name of specific street/road: Times of Road Closure: Yes No Yes No Will you have Temporary Structures? Booth Tent If yes, how many?: If yes, how many?: Measurements: Measurements: Inflatables Other If yes, how many?: Measurements: Will music be provided at your event? Will there be sound amplification? Yes No Yes No Band DJ Stereo System Other List sound/equipment provider: Will there be food? Yes No Provided at a charge? Will there be soft drinks/water? Will there be vendors? Yes No Provided at a charge? If yes, how many vendors? Yes Yes No No If yes, what kind? Cooking Vendor Non-Cooking Vendor

Type of Event c. Name of event for signage (full names): d. Venue space reserved: e. Basic Table set up plan: f. Specific Table set up: Eating: Qty Size Basic Linen Extra Linen

Type of Event. Theatre Presentation Festival Fashion Awards Movie Comedy Circus Dance • Ballet Classical Contemporary Musical Theatre Children World (ethnic, cultural) Family Expo Other Music • Classical Chamber Opera Orchestral Choral World (ethnic, cultural) Popular Contemporary Country Family