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2. This form must be completed and submitted 30 days prior to the event.

4. Name of Event:*
6. Date and Time of Event: *
   Date and Time of Event: Start Date

   Date and Time of Event: Start Time

   —

   Date and Time of Event: End Date

   Date and Time of Event: End Time

   *Please make sure your setup and cleanup time is included in your event time

8. Location of Event:*
   -- Select One --San Marcos Plaza ParkSpring Lake Natural AreaFive Mile Dam Soccer ParkOther
10. Please upload your event site map here.*

    Site map must include the layout of the grounds for your event. Tents, food trucks, stage, electrical needs, vendors, etc., if applicable, must all be notated on the map.

11. Estimated Attendance:*
13. Summary of Event: Please make sure to include a broad scope of all details regarding food, electricity, activities, vendors, etc. at your event.*
15. Name of Organization Sponsoring Event:*
17. Primary Contact Name:*
18. Primary Contact Phone Number:*
20. Primary Contact Email Address:*
22. Secondary Contact Name:
23. Secondary Contact Phone Number:
25. Secondary Contact Email:
27. Crowd Manager
    If applicable. This is usually the event organizer.
29. Traffic Manager*
30. Traffic Manager Cell Phone Number:*
32. Traffic Control Plan
33. Parking Plan
35. Have you clarified and confirmed parking details with the Parks and Recreation Department? *

    1. Yes
    2. No

    If no, please call 512-393-8400.

37. Before the event – If severe weather is forecasted prior to the planned event, the event organizer will evaluate the conditions and determine if the event will remain scheduled. The event organizer or designee is responsible for monitoring the weather conditions before and during the event. *Initial below**
39. During the event – If severe weather occurs during the event, the event organizer or designee should notify the attendees of the hazardous weather condition and direct them to shelter. The identified shelter locations are the San Marcos Activity Center, Old Fish Hatchery Building, and Pauline Espinosa Community Hall. *Initial below**
41. In the event of severe weather, the Emergency Management Coordinator or his/her designee has the authority, above and beyond the event organizer, to delay and/or cancel an event. *Initial below**
43. Evacuation Plan
45. Children: The event organizer will attempt to locate parents and provide a safe environment for lost children. The event organizer will need to establish how to broadcast and communicate this issue to event staff. Please contact the San Marcos Non-Emergency Police Department at 512-754-2108 if you need further assistance. *Initial below**
47. As with any outdoor event, there is potential for injury to the participants. The types of injuries are various and include those that are heat-related as well as traumatic injuries.*

    1. Onsite EMS has been requested for this event and arrangements have been made.
    2. Onsite EMS is not needed for this event.
49. If onsite EMS has been requested, who will be providing this service?
50. EMS Response Plan
52. Please provide the name of the Peace Officer providing security at your event. If security is not needed, please say "not applicable." If the Peace Officer has not yet been determined, please say "not yet determined."*
54. Rules/Regulations: Please note that submission of this form acknowledges your willingness to abide by the terms below. Failure to comply with the following rules/regulations will result in damage fees and/or legal action. 1. Access for emergency vehicles will be maintained at all times. 2. Fire lanes and fire hydrants will not be obstructed. 3. Participants and spectators will park in designated areas. 4. Crowd control and parking management will be monitored by the Event Organizer or individual listed above. 5. Safety hazards have been addressed. 6. Meets the standards of Americans with Disability Accessible (ADA). I acknowledge that I am responsible for submitting an insurance certificate to the Parks and Recreation department two weeks prior to my event. *Write name below**
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit Submit and Print

* indicates a required field