Park PLL Case

Name

Sponsor/Org
Primary Contact

Street Address

City

State

Zip

Daytime Phone

Mobile Phone

Fax

Email

On-site contact

On-site contact mobile #
If different than primary contact

TYPE
- select - Wedding/Reception Block Party Sports Competition Back-to-School Event Concert/Entertainment Parade Rally/Demonstration Health Fair Neighborhood Function Religious Service/Food Giveaway Walk/Run Other

SPECIFYOTHER
If "other" please specify

DESCRIPTION

PARK
- select - Aloe Plaza Aloe Plaza West Extension Amberg Park Amherst Park Barret Brothers Park Beckett Playground Bellerive Park Benton Park Berra Park Carnegie Playground Carondelet Park Chambers Park Cherokee Park Chouteau Park Christy Park Civic Center Clifton Heights Park Columbus Square Park David Hickey Park DeSoto Park Dickman Park Eads Square Park Ernest J Russell Park Eugene Tink Bradley Park Fairground Park Father Filipiac Park (UDAG) Forest Park Fountain Park Fox Park Franz Park Freemont Park Fourteenth Street Mall Gateway Mall Plaza Greg Carter Park Gravois Park Gregory Feeman Gwen Giles Park Handy Park Hamilton Heights Park Hyde Park Ivory Perry Park Jackson Place Park Jefferson National Expansion Memorial Jordan Chambers Park Joseph Dickman Park Joseph Leisure Park Kaufmann Park Kiener Plaza Kingsbury Square Park Laclede Park Lafayette Park Lindenwood Park Lucas Gardens Park Lucier Park Lyon Park Marie Fowler Park Marquette Park McDonald Park Memorial Plaza Mestres Park Minnesota & Hill Park Minnie Wood Park Mount Pleasant Park Murphy Park O'Fallon Park Parkland Park Penrose Park Poelker Park Pontiac Square Park Ray Leisure Park River Des Peres Park Rumbold Park Ruth Porter Mall Samuel Kennedy Park Seay Park Serra Sculpture Park Sherman Park Sister Marie Charles Park Soulard Playground South St. Louis Square St. Louis Place Park St. Marcus Park Strodtman Park Sublette Park Tandy Park Taylor Park Terry Park Tiffany Park Tilles Park Tower Grove Turner Playground Unity Park Vivian Astra Park Walnut Park Washington Square Park Wilmore Park Windsor Park Yeatman Square Park

SPECIFIC LOCATION

STARTING DATE

ENDING DATE

ENTERTAINMENT
Please describe the type of entertainment (if any) to be featured at this event (DJs, bands, dancers, etc)

Day 1 Start Time
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Day 1 End Time
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Day 2 Start Time
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Day 2 End Time
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Day 3 Start Time
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Day 3 End Time
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Day 4 Start Time
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Day 4 End Time
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Day 5 Start Time
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Day 5 End Time
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Starting Date

Starting Time
1 2 3 4 5 6 7 8 9 10 11 12 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 AM PM

Ending Date

Ending Time
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Will a cleanup company be hired to bag and remove trash from the park?

If yes, please provide the name of the company

How many trash containers have been rented?

Have dumpsters been rented to put the bagged trash in?

If volunteers will be used to clean up after the event, have they been told that all trash has to be bagged and removed from the park?

Participants

Spectators

Will portable restrooms be rented?

Will off-duty police officers be hired to secure the event?
Contact Operational Planning of the St. Louis Police Department at 314-444-5396 for security related requirements
- select - Yes No

What is the name of the security company providing security?

If yes, how many?

If yes, what rental company will be used?

What is the number of security personnel on-site during the event?

I understand that portable restrooms must be removed immediately following the event or additional charges will be assessed by the Park Department.
- select - Yes No

I understand that portable restrooms must be delivered and picked up on the date of the event unless setup and cleanup dates have been rented. Contact the Health Department at 314-657-1539 for numbers
- select - Yes No

Will your organization prepare food and either sell it or serve it to the public?
If yes, you will need to apply for a Food Permit from the Health Department. 314-657-1539. (Add link, add child permit option)
- select - Yes No

Will food & beverage vendors be hired or solicited to prepare and/or sell food and beverages?
If yes, please attach a list of all vendors and their phone numbers that are authorized to vend at your event. Each vendor must apply for a Food Permit from the Health Department, 314-657-1539. (Add link, add child permit option)
- select - Yes No

Will a licensed caterer be hired to serve food and alcoholic beverages?
- select - Yes No

If yes, provide the name of the caterer
The caterer should contact the Excise Division, Room 416 City Hall, 314-622-4193, for licensing requirements. (Add link, add child permit option)

Will beer or liquor be sold to the public?
- select - Yes No

If yes, provide the name of the organization applying for the liquor license
Application for a liquor license must be made at least three weeks prior to the event. You will need to produce a copy of your Park Permit and/or a letter from the Park Department to obtain your license.

Will hot air balloons be tethered or launched?
Prior permission from Park Department is required to tether/launch Hot Air Balloons. Balloons must be tethered with sandbags at parks/plazas with irrigation.
- select - Yes No

Will mechanical/amusement rides be included as part of the event?
If requesting a permit for rides on a street surrounding a park, a mechanical permit and inspection is required. Contact 622-3313 for permit requirements.
- select - Yes No

I understand that mechanical/amusement rides are not allowed on park property.
I understand that mechanical/amusement rides are not allowed on park property.

Will tents be erected?
- select - Yes No

If yes, how many?

If yes, what size?

If yes, what type
- select - Self-standing Into turf Into asphalt

Will generators be used for electric?
If yes, please contact the Building Division Electrical Section, Room 425 - City Hall, 622-3325, for an electrical permit. (link)
- select - Yes No

Will city streets be partially blocked or completely closed?
- select - Yes No

If yes, details which streets
Contact the Street Department, 1900 Hampton, 314-647-3111, for street blocking/closing permit. Streets within city parks cannot be closed.

Will a parade be conducted as part of the event?
If yes, a parade permit from the Street Department, 1900 Hampton, 314-647-3111, will be required. (link, child permit)
- select - Yes No

I understand that parades are not allowed on street areas of City parks.

If using a neighborhood park, have you notified the alderman whose ward the park is located within?

Is event open to the public?

If yes, what phone number can the public contact for information?

If yes, what email address can the public contact for information?

Will off-duty police officers be hired to secure the event?
Contact Operational Planning of the St. Louis Police Department at 314-444-5396 for security related requirements
- select - Yes No

What is the name of the security company providing security?

What is the number of security personnel on-site during the event?

Will security remain in the park overnight?
- select - Yes No

Will security be armed?
- select - Yes No

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Add another related document

I understand that paint and chalk are not allowed to mark routes.

I understand that bounce houses and inflatables are not allowed.

I understand that live animals are not allowed at the event.

I understand that fireworks are not allowed at private events.

I understand that electrical services are not provided by the St. Louis City Parks Division. Any electrical service must be provided by the permit holder.

I understand that if the event is a walk/run or bike ride, a copy of the route must be submitted.

I understand that paint and chalk are not allowed on the streets, sidewalks, or bike paths within parks.

I understand that, if my event is open to the public, I must provide a sitemap.

I understand the rainout/cancellation policy

I understand that an insurance certificate of property damage in the amount of $1,000,000 and personal liability insurance in the amount of $200,000 is required.
The certificate must be received at least one month prior to the date reserved and must be an original copy.

I understand that the following wording must appear on the insurance certificate or the certificate will not be acceptable: “The City of St. Louis and its employees, agents, and assigns acting within

As the applicant, I hereby agree and understand that it is my responsibilty to oversee all contractors, vendors or parties affiliated with the event to insure compliance with all policies, rules, regu

I have received, read, and understand the General Park Rules and Regulations.

I understand that the permit is non-transferable and non-refundable.

I have read the rules and regulations and/or conditions for use of the park indicated and agree to abide by same in the event a permit is issued for use of the park requested.

Type Your Signature