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2. Expression of Speech Event Application (Spontaneous Event)
4. Submission of an application is not a guarantee of approval

   The City of Fredericksburg works to keep the city safe for peaceful protesters exercising their First Amendment right, while also protecting our citizens and property. The City requests all who plan to lawfully assemble in the City of Fredericksburg to apply for an event permit as provided in City Code 66-48.

   We strongly encourage you to create an account. Once you login and start the application there will be a save progress button at the top of the page. Please save the document often. This will allow you to save your document and make changes at a later date. To prevent possible loss of data, please turn off your pop-up blocker in your browser.

   Application deadlines: Expressive activities require a 48 hour advance application.

6. Please note:

   The information requested in this application form will be used to determine eligibility for approval for the event requested. Completed forms may be released upon the request of any citizen, as provided by the Freedom of Information Act. Please note there may be other applications and forms you will need to complete for your event but completion of this application is mandatory for ALL events. Any misrepresentation in this application or deviation from the final permit conditions may result in immediate revocation of the permit, the halting of the event, and possible loss of privilege to host events in the future.

8. Frequently Asked Questions
   Special Event Application FAQs

   Please refer to the Special Event Application FAQs for timelines, explanation of procedures and links to other forms and resources.

10. Event Information

    Please answer ALL questions, indicating Not Applicable if the question does not apply. There may be several sections that may not be applicable to your assembly.

12. Event Title*
13. Brief Description*
15. Proposed Date and Time*
    Proposed Date and Time Start Date

    Proposed Date and Time Start Time

    —

    Proposed Date and Time End Date

    Proposed Date and Time End Time
17. Is this a first-time event?

    1. Yes
    2. No
18. When did the last event take place?
20. Applicant First Name*
21. Applicant Last Name*
23. Are you 18 years of age or older?

    1. Yes
    2. No
24. Are you representing yourself?

    1. Yes
    2. No
25. Are you representing a For-Profit Business?

    1. Yes
    2. No
27. Are you representing an organization?

    1. Yes
    2. No
28. Is it a non-profit organization with 501(c)(3) status?

    1. Yes
    2. No
30. Business or Organization's Name
32. Address1
34. Address2
36. City
37. State
38. Zip
40. Daytime Phone
41. Evening Phone
42. Fax
44. Cell
45. Email*
49. About the Event
51. This event is a . . .

    Please check all that apply.

    1. March / Run / Walk / Bike or Auto Procession
    2. Private Party
    3. Concert

    1. Protest / Demonstration / Rally / Political Event
    2. Other
53. Explain Other
55. The event is . . .

    1. Open to the General Public
    2. Ticketed Event
    3. Private (by invitation only)
56. The event will be hosted on . . .

    1. Public Property/Right of Way
    2. Commercial
    3. Residential
    4. Private Property
58. Description of the Event
    If a street closure is requested, please note the closure request and cite the requested closure times.
60. Event Website if applicable
62. Location(s)
64. File Upload
    To minimize the possibility of lost data, please ensure you have a strong and stable internet connection before attempting to upload a file.
65. Are you including a map of your event? If so, please upload it here.
    Include location of structures, barricades, generators, restroom facilities, etc.
67. Setup Date(s) and Times
    Setup Date(s) and Times Start Date

    Setup Date(s) and Times Start Time

    —

    Setup Date(s) and Times End Date

    Setup Date(s) and Times End Time
69. Breakdown Date(s) and Times
    Breakdown Date(s) and Times Start Date

    Breakdown Date(s) and Times Start Time

    —

    Breakdown Date(s) and Times End Date

    Breakdown Date(s) and Times End Time
71. Please note the range of TOTAL anticipated attendees (including spectators and participants)

    1. 0-99
    2. 100-249

    1. 250-499
    2. 500-999

    1. 1,000-1,999
    2. 2,000+
75. Logistics
77. Please indicate any of these event activities and equipment.

    Check all that apply.

    1. Generators
    2. Staging
    3. Bleachers
    4. Shuttles/Satellite Parking

    1. Tent(s)
    2. Banners/Signs
    3. Vendors (non-food/beverage)

    1. Barricades
    2. Live Music
    3. Drones
81. Parade, Run, Walk, Autoprocession, Protest or Demonstration
83. Assemble Area/Time
85. Disassembly (finish) Area
87. Describe Route
91. Tents, Bleachers and Stages

    If this section does not apply to your event, please skip to the next section.

93. Please note all tents over 900 square feet, bleachers, stages, moon bounces or mechanical amusement devices must be inspected prior to the event and additional forms and a permit request will be required.
95. TENTS:
    Please give an overview of your tent plan. List the type of tent (by Code), number, and size(s) of tents to be erected.
    
    Tent Codes: C - Cooking underneath; GA - General Assembly (requires floor plan showing exits); S - Sales of food, products, etc.
97. Tent
    Code
    -- Select One --CGAS
98. Number of
    Tents
99. Size
    (square footage)
100. Additional Information

     1. Walls
     2. Lights
     3. Heaters
102. Tent
     Code
     -- Select One --CGAS
103. Number of
     Tents
104. Size
     (square footage)
105. Additional Information

     1. Walls
     2. Lights
     3. Heaters
107. Supplier
108. Phone
110. Location
112. Date and Time of Tent Delivery
113. Date and Time of Tent Pick up
115. STAGE:
117. Size
118. Supplier
119. Phone
121. Location
123. Date and Time of Stage Delivery
124. Date and Time of Stage Pick up
128. Restrooms, Recycling, and Waste Disposal
130. Please note you will be required to submit a detailed Trash and Recycling plan.
     You are required to dispose of all trash and recycling generated from your event unless other arrangements have been made with city staff.
132. Are you using a waste hauler for event trash disposal?

     1. Yes

     1. No
134. Please indicate name and phone number of company.
136. Will you be placing extra trash containers for the event?

     1. Yes
     2. No
137. How many?
139. How will trash and recyclables be managed?*
141. Will you be using portable restrooms?

     1. Yes
     2. No
142. Wash Station?

     1. Yes
     2. No
144. If yes, please provide the name of the company that will be providing the facilities and the company's phone number:
146. Restrooms Delivery
     Date and Time
     Restrooms Delivery
     Date and Time

     Restrooms Delivery
     Date and Time
147. Restrooms Pick-up
     Date and Time
     Restrooms Pick-up
     Date and Time

     Restrooms Pick-up
     Date and Time
149. Please list the number and locations of portable restrooms, including ADA accessible (and indicate this information on your site map).
151. Number
152. Location
154. Number
155. Location
159. Medical and Emergency Plan
161. Describe your medical and emergency plans.*
163. Emergency Plan required for events with 1,000 or more in attendance:
     Emergency Plan Form
165. If Emergency Medical Support or Fire resources are required and the organizer is listing a resource to provide this care, documentation to support this resource must be included for approval. This documentation should be on the provider's resource letterhead and include, at a minimum, the following:
     
     a. On letterhead from organization or company supplying EMS or Fire
     b. How many transport units or fire units
     c. Level of care (ALS or BLS)
     d. Bikes or mobile units (bikes, gators, on foot); How many and level of care
     e. Dates that they will provide service
     f. Times that they will provide service (arrival and departure times)
167. File Upload
     To minimize the possibility of lost data, please ensure you have a strong and stable internet connection before attempting to upload a file.
168. Attach Emergency Plan information if necessary:
172. Banners and Signs

     Are you planning to install banners or temporary signs? (These are different from signs that are carried.) If this section does not apply to your event, please skip to the next section.

174. Temporary signs not exceeding 50% of the aggregate area of sign display allowed on any privately owned site in that district shall be permitted for the purpose of announcing a campaign, drive or event of a civic, philanthropic, fraternal, religious, or educational organization. No such sign shall be displayed in any R (residential) district except on immediate site of the event to which it pertains. Such sign may be maintained for a period not to exceed one month and shall be removed within 5 days after the event to which it pertains.
176. Please provide an overview of your banner and signs plan. List number, location and type as indicated:
     Location of Banner/Signs Codes:
     ES-within event site; CL-City banner sites (with approval)
     
     Type of Banner/Signs Codes:
     DI-directional/informational; SP-Sponsor Recognition; OT-Other
178. Date(s) Banner will be Displayed/Removed
     Date(s) Banner will be Displayed/Removed Start Date

     Date(s) Banner will be Displayed/Removed Start Time

     —

     Date(s) Banner will be Displayed/Removed End Date

     Date(s) Banner will be Displayed/Removed End Time
180. Number of Banners/Signs
181. Location Code
     -- Select One --ESCL
182. Type Code
     -- Select One --DISPOT
184. Date(s) Banner will be Displayed/Removed
     Date(s) Banner will be Displayed/Removed Start Date

     Date(s) Banner will be Displayed/Removed Start Time

     —

     Date(s) Banner will be Displayed/Removed End Date

     Date(s) Banner will be Displayed/Removed End Time
186. Number of Banners/Signs
187. Location Code
     -- Select One --ESCL
188. Type Code
     -- Select One --DISPOT
190. Date(s) Banner will be Displayed/Removed
     Date(s) Banner will be Displayed/Removed Start Date

     Date(s) Banner will be Displayed/Removed Start Time

     —

     Date(s) Banner will be Displayed/Removed End Date

     Date(s) Banner will be Displayed/Removed End Time
192. Number of Banners/Signs
193. Location Code
     -- Select One --ESCL
194. Type Code
     -- Select One --DISPOT
198. Parking and Transportation
200. Please note that special parking permits and signage may be required.
202. How will people get to/from event?

     1. Personal Vehicles

     1. Shuttles/Satellite Parking

     1. Other
203. Explain:
204. Where will the event attendees/participants park?

     1. On-Street/Public Parking
     2. Reserved Parking

     1. Satellite Parking
     2. School Grounds

     1. Church Grounds
     2. Other
206. Satellite Parking Location:
207. Explain:
209. Will you require special parking? (RVs, trailers, support vehicles)
211. No. of Spaces
212. Location
213. Purpose
215. No. of Spaces
216. Location
217. Purpose
221. Americans with Disabilities Act
223. Public events must comply with ADA requirements. Please indicate which of the following you will have at your event.

     1. Ramps
     2. Designated wheelchair viewing areas

     1. Sign language interpreters
     2. Accessible restrooms

     1. Hearing-impaired listening devices
     2. Accessible shuttles
227. On-Site Communications (During Event)
229. Cell Phone #1*
230. Name*
232. Cell Phone #2
233. Name

237. *** Submission of an application is not a guarantee of approval. ***
239. Hold Harmless Clause
241. Permittee (applicant/organization) shall assume all risk incidents to, or in connection with, the permitted activity and shall be solely responsible for damage or injury, of whatever kind or nature, to person or property, directly or indirectly arising out of, or in connection with, the permitted activity or the conduct of permittee's operation. Permittee hereby expressly agrees to defend and save the City, its officers, agents, employees, and representatives harmless from any penalties for violation of any law, ordinance, or regulation affecting its activity and from any and all claims, suit losses, damages or injuries directly or indirectly arising out of, or in connection with, the permitted activities or conduct of its operation or resulting from the negligence or intentional acts of omissions of permittee or its officers, agents and employees.
243. Applicant's Signature*

     I understand that checking the box below is the equivalent of signing my name.

     1. I Accept
245. Applicant's Name*
247. Applicant's Daytime Phone*
248. Applicant's Email Address
Leave This Blank:


253. 1. Receive an email copy of this form.
254. Email address

     This field is not part of the form submission.

255. Submit Submit and Print

* indicates a required field