Fillable OFFICE OF CITY CLERK 10+ Outdoor Event Permit (City of Wichita Falls)

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OFFICE OF CITY CLERK 10+ Outdoor Event Permit (City of Wichita Falls)

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OFFICE OF CITY CLERK
MARIE BALTHROP, TRMC/CMC, CITY CLERK
E
RIN HAM, DEPUTY CITY CLERK
1300 7
TH
STREET, P. O. BOX 1431, WICHITA FALLS, TEXAS 76307 - PHONE: 940-761-7409
10+ Outdoor Event Permit Application
Whereas, Governor Abbott has issued a disaster proclamation on March 13, 2020, certifying under Section
418.014 of the Texas Government Code that the novel coronavirus (COVID-19) poses an imminent threat of
disaster for all counties in the State of Texas and the order is continuing; and,
Whereas, Governor Abbott issued GA-29 which limits the number of outdoor gatherings to no more 10
individuals; and,
Whereas, GA-29 provides the Mayor may grant an application for individuals to gather more than 10
people, subject to the restrictions within this permit.
Now therefore, this application is hereby in effect for outdoor events of more than 10 people.
Please read the following instructions and information to ensure timely receipt of your permit.
An application provided to the City Clerk must be completed in detail with the required information:
Full name of applicant (individual or other entity)
Address of applicant or address of headquarters of the non-individual applicant. If the applicant i
s
n
ot an individual, please also indicate the state in which the entity is organized
Driver’s license, or state identification number of individual applicant or employer identification
number if the applicant is not an individual
Full and complete description of the event including the type of event, beginning and ending time of
t
he event, and the estimated number of people.
Address where the event will occur.
Applicant’s signature if an individual, or partner’s signature if a partnership, by the president or vice-
president if a corporation, or by an authorized officer if an association (please include title)
Additional Information:
Applicant understands and agrees that by signing below, the Mayor is under no obligation to agree to sign this
a
pplication.
Applicant understands and agrees to follow all recommendations to the best of their ability in the attached
E
xhibit A.
Applicant understands and agrees that the Mayor, City, its agents, and employees are not liable for any and al
l
c
laims, damages, losses, and expense (including, but not limited to, attorney’s fees), arising out of or resulting
from the event, sustained by any person or persons, provided that any such claim, damage, loss or expense is
attributable to bodily injury, sickness, disease, or death, or to injury to or destruction of property caused by the
tortious act or negligent act or omission of Applicant or its agents, or employees.
Applicant understands and agrees to maintain a six-foot social distancing requirement at the event. Masks are
highly recommended.
Allow at least 7-10 business days to process the application. We cannot guarantee any applications requiring
a
st
art date sooner than 7-10 business days will be available by your requested start date.
Please return this form to the City Clerk’s Office at 1300 7
th
St Room 104 Wichita Falls, TX 76301 or via
email at city-clerk@wichitafallstx.gov
OFFICE OF CITY CLERK
MARIE BALTHROP, TRMC/CMC, CITY CLERK
E
RIN HAM, DEPUTY CITY CLERK
1300 7
TH
STREET, P. O. BOX 1431, WICHITA FALLS, TEXAS 76307 - PHONE: 940-761-7409
Ap
plicant Name: __________________________
Identification number: _______________________ Type (please select): DL ID EIN
Applicant Phone Number: _______________________
Applicant Email Address: ___________________________________
Applicant Address: ___________________________
City: ___________________________
State: _____________________ Zip: __________
Address where event will be conducted: _______________________________________
Please give a complete description of the event including type of event, how social distancing requirements will be
maintained, the beginning and ending time and date of the event, and an estimated number of people.
OFFICE OF CITY CLERK
MARIE BALTHROP, TRMC/CMC, CITY CLERK
E
RIN HAM, DEPUTY CITY CLERK
1300 7
TH
STREET, P. O. BOX 1431, WICHITA FALLS, TEXAS 76307 - PHONE: 940-761-7409
I
have read the above instructions and information and agree to follow all requirements herein. _______ (Initial)
I
hereby declare that the above information is correct and true.
_
_______________________
Signature
________________________
Date
_
_______________________
Printed Name
________________________
Title
Office Use Only
City Clerk: _________________________ Date: _________
Ma
yor: ____________________________ Date: _________
Ap
proved: _________
D
enied: _________
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signature
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Wichita Falls-Wichita County Public Health District, June 2020
Exhibit A
Recommended Guidelines for Outdoor Gatherings and Events
Health Protocols for Employees, Contractors, and Volunteers:
• Train all individuals on proper cleaning/disinfecting, respiratory etiquette including wearing masks properly,
and hand hygiene.
• Screen employees and contractors:
o Send home any employee or contractor who has any of the following new or worsening signs or
symptoms of possible COVID-19:
Cough
Shortness of breath or
difficulty breathing
Chills - Repeated shaking
with chills
Muscle pain
Headache
Sore throat
Loss of taste or smell
Diarrhea
Feeling feverish or a
measured temperature
greater than or equal to
100.0 degrees Fahrenheit
Known close contact with a
person who is lab
confirmed to have COVID-
19
• Require social distancing between workers and between workers and patrons. When distancing is not
feasible other measures such as face coverings should be in place.
• Require masks or facial coverings for all employees.
• Arrange employee shifts to minimize unnecessary gatherings of employees in common areas and minimize
contact between individuals.
• Require handwashing at the beginning and end of each shift and encourage frequent handwashing
throughout the event.
Health Protocols for Your Facility:
• Place signage at entrances and throughout the event reminding patrons of best hygiene practices.
• Encourage good hand hygiene by placing multiple easily-accessible hand-sanitizer stations throughout the
venue for individual use and adequately stocking hand-wash sinks with soap and paper towels.
• Require or encourage the use of facial coverings for all attendees; instruct employees on how to recognize if
an individual is unable to wear a mask due to their age or medical condition.
• In areas where social distancing is not possible, consider engineering controls like plexi-glass dividers.
• Clean and sanitize the facility regularly, especially frequently touched surfaces, such as door handles.
Occupancy/Group Size:
Wichita Falls-Wichita County Public Health District, June 2020
• Outside facilities there is no limit to the number of individuals provided there is enough space for proper
social distancing. Outdoor events with an estimated attendance greater than 100 people must have
permission from the local authorities to hold the event.
• Individual groups may not exceed 10 people and should include only household members or people who
travel together to the event.
• Organize the facility to ensure that there is at least 6 ft. social distancing space between individual groups.
• When seating is arranged in rows at least two empty seats must be left between groups and alternate rows
Food/ Beverages:
• Use single use and disposable items such as silverware, menus, or condiments and only provide them upon
request.
• Consider providing meals that are individually pre-packaged. Buffet style meals should be served by
employees rather than patrons. Employees/servers should wash their hands between serving different
groups.
• Touchless payment options are preferred.
For More Information:
Texas Guidelines:
https://open.texas.gov/uploads/files/organization/opentexas/OpenTexas-Checklist-Employers.pdf
https://open.texas.gov/uploads/files/organization/opentexas/OpenTexas-Checklist-Outdoor-Events.pdf
https://open.texas.gov/uploads/files/organization/opentexas/OpenTexas-Checklist-Individuals.pdf
CDC Guidelines:
https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/index.html
https://www.cdc.gov/coronavirus/2019-ncov/community/large-events/event-planners-and-attendees-faq.html
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OFFICE OF CITY CLERK 10+ Outdoor Event Permit (City of Wichita Falls)

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Completed 17 July 2020

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