Type of Event. Run Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Event Title: Event Date(s): (month, day, year) Total Anticipated Attendance: (# 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. APPLICANT AND SPONSORING ORGANIZATION INFORMATION 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) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES 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).: OVERALL EVENT DESCRIPTION: ROUTE MAP / SITE DIAGRAM / S...
Type of Event. 2.1 Please provide a brief description of the event:
Type of Event. Run Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Xxxxx Xxxxxxx 60th year volunteering with Fire Department Event Title: October 7, 2023 Event Date(s): (month, day, year) 100 Total Anticipated Attendance: (# of Participants # of Spectators ) 2:00pm Actual Event Hours: (from): Deadwood Volunteer Fire Hall 4:00pm AM / PM (to): AM / PM Location / Staging Area: October 7, 2023 1:45pm Set up/assembly/construction Date: Start Time: AM / PM Please describe the scope of your setup / assembly work (specific details): Assembly of Fire Trucks for Parade October 7, 2023 2:15pm 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: Main Street from Armory St to Lower Main/Pioneer Way. ⮚ 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. Run Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Shell Xxxxxxx SuperRigs 2024 Calendar Shoot Event Title: June 11, 2023 Event Date(s): (month, day, year) 2 Big Rigs and 6 people Total Anticipated Attendance: (# of Participants 6 # of Spectators 0 ) 6:30 AM Actual Event Hours: (from):
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. Run Walk Bike Tour Bike Race Parade ✔ Concert Street Fair Triathlon Other Event Title: Deadwood LIVE Open Air Music Series Event Date(s): 8/1/2021 (month, day, year) Total Anticipated Attendance: 2550 Actual Event Hours: (from): 7 pm (# of Participants 50 # of Spectators 2500 AM / PM (to): 10 pm ) AM / PM Location / Staging Area: Outlaw Square Set up/assembly/construction Date:8/1/2021 Start Time: 7 am AM / PM Please describe the scope of your setup / assembly work (specific details): Set up will consist of fencing from Outlaw Deck to Hickoks wall along sidewalk of Outlaw Square, crossing Deadwood street Deadwood St. Also fence from Outlaw Square along Pioneer way to sidewalk on Hic 8/1/2021 - 8/2/2021 Dismantle Date:
Type of Event. Run ✔ Walk Bike Tour Bike Race Parade Concert Street Fair Triathlon Other Event Title: Naja Shriners 1/2k Beer-A-Thon Event Date(s): 08/21/2021 (month, day, year) Total Anticipated Attendance: 300 Actual Event Hours: (from): 12PM (# of Participants 300 AM / PM (to): 6PM # of Spectators ) AM / PM Location / Staging Area: #10 Saloon to Outlaw Square Set up/assembly/construction Date:08/21/2021 Start Time:
Type of Event. Run Walk Bike Tour Bike Race Parade ✔ Concert Street Fair Triathlon Other Event Title: Mickleson Trail Post Race party Event Date(s): June 6, 2021 (month, day, year) Total Anticipated Attendance: 300 (# of Participants # of Spectators ) Actual Event Hours: (from): 2 pm AM / PM (to): 5 pm AM / PM Location / Staging Area: Outlaw Square Set up/assembly/construction Date:June 6, 2021 Start Time: 12 pm AM / PM Please describe the scope of your setup / assembly work (specific details): Sound production load in along with band load in June 6, 2021 Dismantle Date: 8 pm 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: N/A 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. APPLICANT AND SPONSORING ORGANIZATION INFORMATION Commercial (for profit) Noncommercial (nonprofit) Sponsoring Organization: Mickleson Trail Marathon Chief Officer of Organization (NAME): Xxxxx Xxxxxxx Applicant (NAME): Xxxx Xxxxxx aka Xxxxx Xxxx Business Phone: (605 ) 000-0000 Address: 000 Xxxx Xx Deadwood SD 57721 (city) (state) (zip code) Daytime phone: (_605) 7_71177--66884488 Evening Phone: (_605) 000-0000 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) Xxxxx Xxxxxxx Contact person “on site” day of event or facility use 000-000-0000 Pager/Cell #: (Note: This person must be in attendance for the duration of the event and immediately available to city officials) REQUIRED: Attach a written communication from the Chief Officer of the organization which authorizes the applicant or professional event organizer to apply for this Special Event Permit on their behalf. FEES / PROCEEDS / REPORTING NO YES ✔ 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 applic...
Type of Event. ⧠ Prom/School Dance ⧠ Run/Walk/Race ⧠ Other School Event ⧠ Wedding ⧠ Traffic ⧠ Festival ⧠ Sporting Event ⧠ Other (explain) Contacts: The event contact must be someone who is able to make decisions regarding the event. Planned number of volunteers: Planned number of attendees: Contact person (Person who will be on-site): Contact’s phone/e-mail: Alternate contact person: Alternate contact phone/e-mail: Prepared by: Date:
Type of Event. □ Meeting/Conference □ Meal/Banquet □ Party/Live Music □ Other: Space Requirements: □ The Red Barn □ Back Deck □ Lawn □ Other: Estimated Attendance: □ Less than 50 □ 50 – 75 □ 75 – 100 □ 100 – 120 □ 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: □ White Garden Chairs (120 max) Qty: □ Round Tables (15 max) Qty: □ Rectangle Tables Qty: _ □ Podium □ Other: **Tablecloths not included** Media Needs: (IfApplicable) □ Microphone Qty: □ Sound System □ LCD Projector/Screen Catering Needs: (If Applicable) Name of Caterer: Caterer Contact: Caterer Phone: Admission Fee: (If applicable) Public Safety Needs (If applicable) □ Police Detail(s) □ Crowd Manager(s) □ Parking Assistance Signature Authority: The individual signing below hereby represents and warrants that s/he is duly authorized to execute and deliver this agreement on behalf of the Client and that this agreement is binding upon the Client in accordance with its terms. By signing, the Client confirms that s/he has read and agrees to abide by the General Terms and Conditions set forth in this agreement. Furthermore, the Client agrees to abide by all applicable local, state, and federal laws. This document constitutes the entire understanding and agreement between the Client and Event Services. Client: On Behalf of Event Services: Signed Signed Printed Printed Title (If Applicable) Title Date Date
