SPECIAL EVENT PERMIT APPLICATION
Special Event Permit Application
The Special Event Permit Application helps us evaluate your event's needs to customize a permit package.
Before applying, please review our Special Events Guide on our website for information on additional forms, applications, and licenses that may be required.
For questions or assistance, contact the Community and Media Relations division at (510) 583-3911 or [email protected].
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SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS PERMIT APPLICATION
Select state
*Name of organization
Event Organizer Information
*Organization address
Street address
*Event coordinator name:
Street address line 2
City State
Zip code
First name Last name
*Event coordinator phone number
Country
code
+1
Phone number
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SPECIAL EVENTS PERMIT APPLICATION
Email address
*Event coordinator e-mail address
*Is your organization designated as a nonprofit 501 (c) 3 tax-exempt organization or community group?
No
Yes (Please provide your organization’s tax ID number)
*Is your organization a for-profit business or organization? No
Yes (Please provide your Hayward Business License number) *Are you a Veteran with an honorable discharge?
No
Yes
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SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS PERMIT APPLICATION
*Name of event
Event Information
*Type of event (parade, street party, community fair, etc.) City
Zip code
*Please describe the event, its purpose, and the activities that will take place.
State
Street address
*Please describe the event, its purpose, and the activities that will take place.
*What is the date and hours of your event
Date
Event hours
SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS PERMIT APPLICATION
On which dates and at what times are you requesting permission to setup and cleanup?
*Setup
Date
Setup start
time
Setup end
time
*Cleanup
Date
Cleanup
start time
Cleanup end
time
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SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS PERMIT APPLICATION
*Etimated attendance
Event details
Overall
attendance
Hourly
attendance
*Will the event require a road closure
No
Yes
Unknown
*Have you hosted a previous event?
No
Yes
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SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS PERMIT APPLICATION
Will your event have any of the following:
Event components
*Alcohol sales or distribution?
No
Yes
Unknown
*Amusement or carnival rides?
No
Yes
Unknown
*Live animals or animal shows?
No
Yes
Unknown
*Electrical power? (for sound amplification, lighting, etc.) No
Yes
Unknown
SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS PERMIT APPLICATION
*Food sales or distribution?
No
Yes
Unknown
*Game booths?
No
Yes
Unknown
*Live music?
No
Yes
Unknown
*Merchandise vendors? (sales of goods or services)?
No
Yes
Unknown
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SPECIAL EVENTS PERMIT APPLICATION
*Portable toilets & hand-washing stations?
No
Yes
Unknown
*Race: 1 mile, 3K, 5K, 8K or 10K
No
Yes
Unknown
*Security and/or crowd control?
No
Yes
Unknown
*Tents, canopies, stages, bleachers, and other structures? No
Yes
Unknown
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SPECIAL EVENTS PERMIT APPLICATION
*Vehicles/car shows
No
Yes
Unknown
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SPECIAL EVENTS GRANT APPLICATION
Special Event Permit Application
Waiver of Liability and Indemnity Agreement
In consideration of participation in this program and the use of the City’s facilities and premises, and to the maximum extent permitted by law, THE UNDERSIGNED SHALL, at his/her own expense, indemnify and defend, and hold harmless the City of Hayward and its officers, officials, employees, agents and volunteers from and against any and all liability, loss, damage, fines, expenses and costs (including, without limitation, claims expenses, attorney’s fees, costs and fees of litigation) of every nature, whether actual, alleged or threatened, arising out of or in connection with the participation of the undersigned and the undersigned employees, in the program.
In addition, the undersigned RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE THE CITY OF HAYWARD, its officers, employees and agents (“the City”) for any loss or damage, and any claim or demands therefore arising out of or in connection with the participation of the undersigned and the undersigned’s employees, in the program, whether caused by the negligence of the City or otherwise, while the undersigned is in, upon, or about the premises or any facilities or equipment therein. *I have read and understand the Special Event Grants eligibility requirements found on the City of Hayward's website.
Host organization
Name of applicant
Date
Contact phone number
Contact email address
SPECIAL EVENT PERMIT APPLICATION
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SPECIAL EVENTS GRANT APPLICATION
Special Event Permit Application
Affidavit of Applicant
I certify that the information contained in the foregoing application is true and correct to the best of my knowledge and belief and that I have read, understand, and agree to abide by the rule and regulations governing the proposed special event. I understand that this application is made subject to the roles and regulations established by the City Council and/or the City Manager or the City Manager’s designee.
I agree to comply with all other requirements of the City, County, State, and Federal Governments, and any other applicable entity which may pertain to the use of the event venue and the conduct of the event. I agree to abide by these rules and further certify that I, on behalf of the Host Organization, am also authorized to commit that organization, and therefore agree to be financially responsible for any costs and fees that may be incurred by or on behalf of the event to the City of Hayward. *I have read and voluntarily sign this affidavit of applicant.
Host organization
Name of applicant
Date
Done
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