City of Marietta
205 Lawrence Street
Marietta, GA 30060
770-794-5300
Application for permit
Please print or type
____________________
Date of Application
I. Organization/Group Name_____________________________________________________
Address____________________________________________________________________
Phone# ________________________________FAX#_______________________________
Email______________________________________________________________________
II. Purpose of Permit____________________________________________________________
___________________________________________________________________________
III. Date of Activity___________ Starting Time__________ Finishing Time________________
Number of Participants (approx)_________ Number of Vehicles_______________________
IV. All parades, marches, demonstrations must attach a copy of the proposed route and activity.
They also need to provide the exact name and a 24 hour phone number of the event coordinator.
Event Coordinator:________________________ Phone number_______________________
V. Route and Activity:___________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
VI. Applicants Name_____________________________________________________________
Address____________________________________________________________________
Phone#_____________________ Fax____________________ E-mail__________________
VII. Applicant Certification:
I hereby agree to release, indemnify and hold harmless the City of Marietta for and from any liability for
personal injury or property damage sustain by any person in connection with any activities for which this
permit is issued. As the undersigned, I will ensure that the parameters and/or restrictions set forth in this
permit application are strictly adhered to and organizers and participants have knowledge of its content.
I also understand that the permit fees of $3,500 for (5K) and $4,500 (10K) will be assessed for all
road races and walks, unless arrangements to pay personnel directly have been made. All fees must
be paid thirty (30) calendar days prior to the event. The applicant must also provide a copy of a
state issued identification card. There is a non-refundable application fee of $750.00 that must be
submitted with the permit application. If the permit application is denied t
he $750.00 fee will be
refunded.
Approval of this permit may be withdrawn at any time to comply with Health Department or Local City
requirements related to COVID-19.
