Form Center • Irving, TX • CivicEngage

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1. Contact Information This section is complete This section is incomplete
2. Event Information This section is complete This section is incomplete
3. Additional Information This section is complete This section is incomplete
4. Acknowledgements and Signature This section is complete This section is incomplete

Contact Information

Applicant First Name*
Applicant Last Name*
Organization Name*
Organization Address*
City*
State*
ZIP Code*
Daytime Phone*
Evening Phone*
Cellphone
Is the organization a 501c(3)?*
1. Yes
1. No
501c(3) Documentation
Documentation required for 501c(3) nonprofit discount
Email Address*
Website Address
Manager On-Site Day of Event*
Manager's Cellphone*
Notify Parks and Recreation Athletics immediately at (972) 721-2501 if there is any change in this information.
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Event Information

Event Type*
1. Baseball
2. Basketball
1. Cricket
2. Football
1. Run/Walk
2. Softball
1. Soccer
2. Ultimate Frisbee
Event Title*
Event Date*
Estimated Attendance*
Requested Park*
Actual Hours of Event
Actual Hours of Event Start Time
—
Actual Hours of Event End Time
Set-up Times*
Set-up Times Start Time
—
Set-up Times End Time
Take-Down Times*
Take-Down Times Start Time
—
Take-Down Times End Time
Description of Event Set-up*
Please attach additional information as necessary, including plans, drawings, maps, etc.
Set-Up Attachment 1
Set-up Attachment 2
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Acknowledgements and Signature

Voluntary Use Donations*
Would you like to make a Voluntary Property Use Donation to the Fund for Parks and Recreation?

Donations are accepted for the use of Irving Parks and Recreation Department property. Contributions support a broad array of recreational activities for residents and visitors of all backgrounds and help to maintain 1,868 acres of park land.

Donations to the "Fund for Parks and Recreation" are tax-deductible. Checks may be made payable to the "Fund for Parks and Recreation" and may be submitted with your application.
1. Yes
1. No
Other Permits*
Please note that all components of the event are subject to Parks and Recreation Department approval and may require approval by and/or permits from other city agencies. Parks and Recreation Department approval does not constitute permission from other agencies. Events that impact other city agencies will be referred to city-wide permit committee. It is the responsibility of the applicant to secure all necessary city of Irving permits.

Please acknowledge by selecting the Yes box.
1. Yes, I have read and understand.
Insurance Requirements*
Evidence of insurance will be required one week prior to the event date. Please provide a certificate of insurance which shows a minimum of $1 million in commercial general liability insurance and a policy endorsement which indemnifies and holds harmless the City of Irving, Parks and Recreation Department. Each event is evaluated on its risk exposure. The City of Irving is not responsible for any accidents or damages to persons or property resulting from the issuance of this permit.

Please acknowledge by selecting the Yes box.
1. Yes
Affidavit of Applicant*
Everything that I have stated on this application is correct to the best of my knowledge. I have read, understand and agree to abide by the policies and rules and regulations listed on this form as they pertain to the requested usage. By signing this application, the applicant agrees to follow all rules and regulations. The permit, if granted, is not transferable and is revocable at any time at the absolute discretion of the Parks and Recreation Department. All programs and facilities of the Irving Parks and Recreation Department are open to all citizens regardless of race, sex, age, color, religion, national origin or handicap.

Please acknowledge by selecting the Yes box.
1. Yes
Signature*
Please type your name, followed by /s to indicate an electronic signature.
Date*
Date
Office Use Only
1. Approved
2. Denied
Notes
Staff Signature
Date

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

This field is not part of the form submission.
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