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2. APPLICATION FOR USE OF CITY FACILITIES
4. Applicant Name *
5. Phone Number*
7. Email Address*
9. Address*
10. City, State and Zip Code*
12. Business or Organization Name *
14. Business or Organization Address*
15. City, State and Zip Code*
17. FEES EFFECTIVE JANUARY 1, 2019
19. Application Fee*

    1. Non-Profit - City - $30.00
    2. Non-Profit - Out of City - $50.00
    3. Profit - $100.00
    4. School, Church, Resident - City $30.00
    5. Additional Late Fee if submitted less than 45 days prior to event - $100.00
    6. City Department Event
21. Non-Profit Tax ID
22. Mail or drop off payment at the City Clerk's office. Applicant will be invoiced separately for officers, barricades, and other permits, if required for event.
24. Event Name *
25. Location Requested *
27. Date of Event *
    Date of Event
28. Setup Date
    Setup Date
29. Setup Time *
    Setup Time
30. Event Start and End Time*
    Event Start and End Time Start Time

    —

    Event Start and End Time End Time
32. Add Another Date

    1. Additional Event Date(s)
33. List All Additional Dates
35. Description and Purpose of the Event *
36. Estimated Number of Persons Attending*
38. Will Event Include Use of the Kollen Park Band Shell? (only available for non-profit applicants)*

    1. Yes
    2. No

    *If yes, complete the Use of Band Shell Application.
39. Will Event Include a Parade, Walk, Run, or Use of Right-of-Way?*

    1. Yes
    2. No

    *If yes, complete Right-of-Way Permit below and include a map of the route
41. Will Event Require Travel Through 8th St Marketplace*

    1. Yes
    2. No
42. Will Event Start/End in Civic Center Parking Lot?*

    1. Yes
    2. No

    *If yes, additional fees from the Holland Civic Center Place may apply. 

44. Will Event Require Access to Restrooms at the Holland Civic Center Place*

    1. Yes
    2. No

    *If yes, additional fees from the Holland Civic Center Place will apply.

46. Will You Require Electricity for Your Event?*

    1. Yes
    2. No
47. Will Signage be Used?*

    1. Yes
    2. No

    *If yes, complete the City Event Signage Application.
49. Are You Requesting Approval for Tents or Other Temporary Structures? *

    1. Yes
    2. No

    *If yes, list number and sizes
50. Number and Size
52. Are You Requesting Approval to Bring in Any Other Items (Chairs, Tables, Stage, etc.)?*

    1. Yes
    2. No

    *If Yes, list items
53. List Items
55. Will You be Requesting Approval for the Sale/Serving of Alcohol?*

    1. Yes
    2. No

    *If yes, please also review the separate policy and application process.
57. Will You be Serving Food at Your Event?*

    1. Yes
    2. No

    *If yes, it is your responsibility to contact the County in which the event will be held for foodservice licensing. Ottawa: 616-393-5645 Allegan 269-686-4505
58. Please List Any Food Vendors or Caterers You Are Using, Along With What Food Items Are Being Served
60. A Certificate of General Liability Insurance, which states, "The City of Holland, its officers, agents and employees are named as additional insureds. Subrogation against the City is waived, and its officials agents and employees." must be submitted with the application. The minimum amount is $1 million per occurrence and $2 million aggregate. All parties involved in conducting the event shall also be named as additional insureds.
61. Upload Insurance Form
63. Additional Notes:
65. Signature*
66. Electronic Signature *

    1. I have read the City of Holland’s Use of City Facilities Policy and agree to abide by the terms and conditions in it and in this application.
70. PUBLIC SAFETY/POLICE DIVISION INFORMATION:
    Certain events may require the need for police officers for crowd and traffic control and to ensure all required provisions are met. Security requirements will be determined by the Holland Public Safety – Police Division which may include hiring regular or reserve police officers. The criteria established by the Director of Public Safety must be accepted and followed. The applicant/sponsor will be required to pay for the officers for the event. During certain circumstances a deposit may be required.
72. Event Name *
73. Date of Event *
    Date of Event
74. Event Start and End Time*
    Event Start and End Time Start Time

    —

    Event Start and End Time End Time
76. Add Another Date

    1. Add Additional Date
77. List All Addtional Dates
79. Does the Event Include a Run, Walk, Parade or Activity Using City Streets, Sidewalks, Parking Area or Right-of-Way?*

    1. Yes
    2. No
80. If Yes, How Many People Will be Participating?
82. If Yes, and Using a Pre-Approved Route, Select Your Route
    -- Select One --5K Route #15K Route #25K Route #35K Route #45K Route #5
83. To View Pre-Approved Routes: Click the Link
    Pre-Approved Routes
84. If yes, and Want a Different Route, Upload a Copy of Your Intended Route.
86. Options for applicants holding a walk or run that requires Holland Police Reserves for traffic control:

    Choose one of the 5 pre-selected routes around the City. These are all 5K in distance, have parks or schools that are on the routes for start and finish lines, and are the most economical in price. The fee for these pre-selected routes is $36.00 an hour per officer, minimum of 2 hours. If the run or walk occurs on a holiday, the fee is $54.00 an hour per officer, minimum of 2 hours. For any other route, the fee is $54.00 an hour per officer, minimum of 2 hours, and if it is on a holiday, the fee is $81.00 an hour per officer, minimum of 2 hours. For City of Holland Department events, contact Sgt. Jon Boeve for pricing: j.boeve@cityofholland.com or 616-355-1737.

88. For any applicant looking to use Windmill Island including the causeway please note the following:

    All events/runs seeking to utilize Route 5 or other use of Windmill Island Gardens (including the causeway/parking lot) must receive approval of their plan from Windmill Island Gardens staff before submitting an application. As a self-supporting park with paid admission and frequent special events, use of the park (including causeway) may be considered a rental of the facility and subject to relevant fees. Please direct questions to windmill@cityofholland.com. 

90. Will the event require use of a loud speaker or other sound amplifying device?*

    1. Yes
    2. No

    *If yes, complete the Use of Sound Device Permit section below.

92. The applicant will be billed by the Public Safety Department for officers and any and all necessary traffic control devices, including street closed signs, barrels and/or barricades., This includes the cost of personnel and vehicles for delivering, posting, and/or picking up such traffic control devices.

    All conditions or requirements pertaining to this event will be attached to the approved application. If you have any questions regarding the conditions or the responsibility of the Public Safety Department, please contact Sgt. Jon Boeve, j.boeve@cityofholland.com or 616-355-1737.

96. Use of Sound Device Permit

    Section 19-6 of the City Ordinance requires that a broadcasting permit be obtained for all events that will operate a loud-speaking device for outside events that occur within the City of Holland.

98. Event Name*
99. Location of the Event*
101. Date of Event*
     Date of Event
102. Event Start and End Time*
     Event Start and End Time Start Time

     —

     Event Start and End Time End Time
104. Add Another Date

     1. Add Additional Dates
105. List Additional Dates
107. Contact Person*
108. Contact Phone Number*
110. Sponsoring Organization*
112. Organization Address*
113. City, State and Zip Code*
115. Signature*
116. Electronic Signature*

     1. I have read the City of Holland’s Use of City Facilities Policy and agree to abide by the terms and conditions in it and in this application.
118. This Section is for Internal Use Only
120. Approved or Denied - Chief of Police
121. Approved or Denied - City Manager
123. If Denied, Reasons for Denial
     -
125. Approval is subject to the following regulations in accordance with Section 19-6 of the City Code:

     1. The Applicant is responsible for providing own microphone, speakers and amplification equipment. The City does NOT provide sound equipment.
     2. The City Parks Division will turn on electricity at a park for an event upon request (616-928-2450). Fee will apply.
     3. Permit must be approved by the Chief of Police and the City Manager.
     4. Permit will be issued only for matters of charitable, community, educational, or religious purposes beingheld outside of buildings.
     5. Permit will not be issued for more than two (2) hours in any one-half day or permitted after 9:00 p.m.unless approved by the Chief of Police.
     6. Vehicles with sound systems may not operate within 300 feet of a hospital or 300 feet of a school duringschool hours.
     7. The sound equipment must be regulated so that it may be heard on the street, but will not create a nuisance.
129. CITY EVENT SIGNAGE APPLICATION
     Signs may be carried for demonstration purposes; however, if you want to post signs in a park for a public demonstration, wedding, etc., prior City Council approval is required (allow 4-6 weeks).
131. Event Name *
132. Date of Event *
     Date of Event
133. Event Start and End Time*
     Event Start and End Time Start Time

     —

     Event Start and End Time End Time
135. Add Another Date

     1. Add Additional Dates
136. List All Additional Dates
138. Number of Signs Requested*
139. Duration of Sign(s) Installation*
141. Detail Size(s) of Proposed Sign(s) Required*
142. Detail Material(s) of Proposed Sign(s) Required*
144. Detail Color(s) of Proposed Sign(s) *
145. Detailed Proposed Sign(s) Location(s)*
147. Please Upload a Map Showing Location(s)
151. RIGHT-OF-WAY PERMIT
     (Parades, Runs, Walks, and Other uses of public rights-of-way, including sidewalks and parking lots) All Parades conducted in the City require a permit, in accordance with City Ordinance No. 1393, Sec. 18-20. A Permit will be granted upon approval by the Chief of Public Safety and the City Clerk, and after payment of Parade Permit Fee, as established by resolution of City Council. When this application has been approved by the Chief of Public Safety and signed by the City Clerk, it serves as the permit for the event.
153. Event Name*
154. Event Date*
     Event Date
155. Event Start and End Time*
     Event Start and End Time Start Time

     —

     Event Start and End Time End Time
157. Add Another Date

     1. Add Additional Dates
158. List All Additional Dates
160. Type of Event *

     1. Parade
     2. Walk
     3. Run
     4. Other
161. Description of Event*
163. Event Will Take Place On*

     1. Streets
     2. Sidewalks
     3. Parking Lot
     4. Other
164. Name of Organization*
166. Person in Charge of Event *
167. Phone Number*
169. Address*
170. City, State and Zip Code*
172. If Using a Pre-Approved Route, Select Your Route
     -- Select One --5K Route #15K Route #25K Route #35K Route #45K Route #5
173. If You Are Not Using a Pre-Approved Route, Please Upload Your Intended Route
175. Signature *
176. Electronic Signature*

     1. I have read the City of Holland’s Use of City Facilities Policy and agree to abide by the terms and conditions in it and in this application.
180. USE OF BAND SHELL (KOLLEN PARK) APPLICATION
     Use of the Kollen Park Band Shell is limited to City of Holland events or events co-sponsored by a Department of the City of Holland. Permission to use the Kollen Park Band Shell may be granted if an applicant demonstrates how a proposed event promotes the City’s mission and also that of a co-sponsoring City Department. Upon approval by the co-sponsoring Department Director, the applicant must submit a signed copy of the Use of Band Shell application along with a completed Use of City Facilities application to the City Clerk’s office requesting event approval. The applicant is required to pay the Use of City Facilities application fee as well as any other costs that may be assessed for the event. Use of the Band Shell includes the Shell only; loud-speaking system, chairs and other equipment must be supplied by the applicant
182. Requesting Co-Sponsorship of City Department*
183. Name of Organizatoin*
185. Address*
186. City, State and Zip Code*
188. Contact Person*
189. Phone Number*
191. Type of Event*
192. Estimated attendance*
193. Date of Event*
     Date of Event
194. Event Start and End Time*
     Event Start and End Time Start Time

     —

     Event Start and End Time End Time
196. Add Another Date

     1. Add Additional Dates
197. List All Additional Dates
199. Attach Explanation of How Event Promotes the City’s Mission and the Mission of the Co-Sponsoring Department.*
201. Signature*
202. Electronic Signature*

     1. I have read the City of Holland’s Use of City Facilities Policy and agree to abide by the terms and conditions in it and in this application.
204. City Hall - 2nd Floor, 270 S. River Ave., Holland, MI 49423 or Fax: (616) 355-1490 Attn: City Clerk's Office
     Various maps of Holland City and Holland Parks are available on our website. Use the Miscellaneous City Maps link below to access these. For applicants holding a walk, run or parade, you may find the USA Track & Field website link below helpful to map your route. Start by entering 49423 in the ZIP code box. Print a copy of your route and submit it with your application. For applicants holding an event in a park, you may find the Ottawa County website helpful. Use the link below to find a park and diagram your event set-up. Print a copy of your map and submit it with your application.
Leave This Blank:


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

     This field is not part of the form submission.

208. Submit

* indicates a required field