Special Events Application- Aquatics Center Events

2. Name of Event
4. Date(s) of Event
6. Hours of Event
8. Two On-Site Day of Event Contact Persons:
10. First Name
11. Last Name
13. Email
14. Cell Phone
16. First Name
17. Last Name
19. Email
20. Cell Phone
22. Address
24. City
25. State
26. Zip
28. How many participants and spectators are anticipated?
29. How many vehicles do you anticpate at the event?
31. What arrangement are proposed for off-site parking? Do you have additional designated ADA accessible parking?*
33. What provisions will be made for parking lot and Maple Avenue traffic flow?
    Examples: Hire traffic management officers.
35. What methods do you propose for notifying participants of event parking arrangements? When will notification occur? Please describe below:
37. Will public signage be used to advertise event? Please describe the type and location of signage?
39. Provide any additional information that you feel will assist in evaluating your application:
41. HOLD HARMLESS STIPULATION: Permittee covenants and agrees to indemnify, defend and hold harmless the City, its officers, agents and employees from and against any and all claims, actions, damages, liability, cost and expense, including reasonable attorney’s fees in connection with or occasioned, in whole or in part, by any act or omission of Permittee, its officers, agents, employees, customers, or licensees, or arising from or out of Permittee’s failure to comply with any provision of this Permit, regardless of whether it is alleged or proven that the acts or omissions of the City, its officers, agents or employees caused or contributed thereto. The parties mutually agreed upon this waiver. This indemnity provision shall not apply in the event any acts or omissions of the City were the sole cause of any such damage or injury. To the extent any of the damages referenced herein were caused by or resulted from the concurrent negligence of the City, its agents or employees, and the Permittee, its officers, agents, and employees, this obligation to indemnify, defend and hold harmless is valid and enforceable only to the extent of the negligence of the Permittee, its officers, agents, and employees. Signature of authorized representative of event sponsor:
43. By submitting this application and entering my name below, I agree and acknowledge my electronic signature is valid and binding and contains the same force and effect as my handwritten signature and may not be denied legal effect solely because it is conducted, executed, or prepared in electronic form. I acknowledge that the information submitted is true and correct and that I have the authority and I am authorized to submit and execute this application. By submitting this application for a special event permit, I acknowledge that the application the special event permit is subject to suspension or revocation if false or misleading information is provided; and violation of any conditions and/or requirements of the Snohomish Municipal code or any permit conditions may result in the revocation or denial of an application or permit for a special event and the forfeiture of any fee paid.
45. First Name*
46. Last Name*
Leave This Blank:


48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit Submit and Print

* indicates a required field