Special Event Coordinator: 281-291-5778 / Public Works Department: 281-291-5725 or 281-291-5600
For after hours assistance, please call 281-932-2047. Event Application Rev. 10-1-20
A. Applicant Information
(Applicant is required to be over 21 years of age)
Name:
Organization Name: Non-profit EIN#:
Individual or Organization’s Address:
City: State: ZIP Code:
Day Phone: Evening or Cell Phone:
Email Address:
B. Event Location / Rental Facilities: Full Day, Half Day, or Hourly if applicable. (Please select rental option)
Carothers (FD) (HD) (HR) Pool Cabana A (FD) (HD) Brummerhop Cabana (FD)
Community House (FD) Pool Cabana B (FD) (HD) Brummerhop Pavilion (FD)
Meador Park Pavilion (FD) Pool Party Room (FD) Baseball Field:
Miramar Park Pavilion (FD) Pine Gully Other:
C. Event Information. Date, time and locations is not guaranteed.
Date of Event: ZĞƐĞƌǀĂƚŝŽŶStartͬŶĚ TimeƐ: Event ^ƚĂƌƚͬEnd Time:
Type of Event:
Social Event (i.e. Wedding, Birthday Party, etc.) ❒ Meeting (Business, Non-Profit, Organizational, etc.)
❒ * Parade, Organized Walk or Run, Sporting Event ❒ * Concert, Carnival, Fair, Festival, Public Show or Exhibition
*If any option listed with Parade or Concert was selected, please reference Special Event sections E, G &
H
Number of people attending: ❒1-25 ❒ 26-50 ❒ 51-75 ❒ 76-90 ❒ * 91-200 ❒ * 201 +
*If 91 or more was selected, please reference Special Event sections E, G &
H
Is this event open to the public? ❒ *Yes ❒ No
*If Yes was selected, please reference Special Event sections E, G &
H
Will food be sold or a mobile food provider be present at the event? ❒ *Yes ❒ No
*If Yes was selected, please reference Special Event section E, G &
H
Will alcohol be served? ❒ Yes ❒ No
If Yes was selected, an additional form must be completed. The Alcohol Security Agreement form is
required.
Will there be a party rental (i.e. bouncy house, rock wall, etc.) at the event? ❒ Yes ❒ No
If Yes was selected, an additional form must be completed. The Bouncy House Form and proof of Liability Insurance is
required.
D. Notes and Comments (optional):
E. Special Events, Part 1 of 3 (Skip sections E, G & H if your event does not qualify as a SPECIAL EVENT)
If any of your selections prompted you to the Special Events section, please complete Special Event section E , G, & H and contact Special
Event Coordinator at 281-291-5778. If your event is determined to be a Special Event, please submit items on the checklist.
Completed Checklist is due no less than 45 days before the event.
❒
Liability Insurance with the City of Seabrook listed as Certificate Holder
❒ Site Map- Please include on map: Description of where attendees will park, activities that will be set up, and a minimum of 3
Emergency Contacts from your organization/event.
❒ Completed Event Application
❒ Special Event Permit Fee ($50), Special Event Deposit Fee, and any other applicable fees
❒ Be available for a conference call or meeting with City staff to answer questions and clarify details of the event.
❒
Resident
❒
Resident, Non-profit/Local Group
❒
Non-Resident
❒
Special Event/City Co-Sponsored
Applicable Fees
❒
Rental Fee:
❒
Refundable Deposit:
❒ Security Administrative Fee ($30) ❒ Special Event Deposit:
❒ Custodial Fee ($250): ❒ Special Event Fee ($50):
Security Fee ($40 x 4hr. min): Paid At Event
❒ Lawn Maintenance Fee ($300):
TOTAL FEES DUE:
Event Application Date Submitted: