215 S. Broadway, Louisburg, KS 66053
913-837-5371 · louisburgkansas.gov
Louisburg Parks Special Event Permit
Date: _____________
Primary Contact: ____________________________________________________________________________________
Address: ___________________________________________________________________________________________
Phone: ________________________ Email:______________________________________________________________
Secondary Contact: __________________________________________________________________________________
Address: ___________________________________________________________________________________________
Phone: ________________________ Email:______________________________________________________________
Location/Facility Requested: ________________________________________________ Shelter A _____ B _____ C_____
Date(s): __________________________________________ Time(s): __________________________________________
Individual and/or Organization Liability Insurance
The City requires a Certificate of Liability Insurance to make a reservation. This must be provided to the City of Louisburg
prior to any event taking place.
Permit Fees Assessed as follows:
Local/USD 416 residents Non Local residents
Tier 1 = 50 & under campers $0 $25
Tier 2 = 51-100 campers $50 $75
Tier 3 = 101-200 campers $100 $150
Tier 4 = 201-300 campers $200 $300
Tier 5 = Over 300 campers $300 $450
The application and permit fee (if applicable) and certificate of insurance should be mailed prior to the event, to:
City of Louisburg
Attn: Traci Storey
215 S. Broadway
Louisburg, KS 66053
For questions or additional information, contact Traci at City Hall: 913-837-5219.
