[Maple Valley] Park Special Use Application

Park Special Use Application

*$500 Damage Deposit Required for all Events*

Contact Person

Organization

Address

City

State

Zip Code

Phone Number

Secondary Phone Number

Email Address

Event Information

Event Name

Duration of Event

One Day

Multiple Days

Date - First Choice

List all dates this event will take place below:

Park Name

Location

*All reservations require a 5-hour minimum rental period. Reservations allowed from 9 AM - 8 PM*

Anticipated Arrival Time

Anticipated Departure Time

Expected Attendance

# of Vehicles Parking (does not guarantee parking space)

Do you intend to have an inflatable or amusement ride?

Yes

If yes, a certificate of insurance naming the City of Maple Valley as additionally insured and listing the City of Maple Valley as a Certificate Holder will be required if approved. Minimum amount of General Liability is $1,000,000 per occurance, $2,000,000 aggregate.

Please note that power is only available at Shelter 1 & Amphitheater at Lake Wilderness Park. If power is required for your rental outside of that area, you will need to provide your own generator.

Describe your activity/event (Is this event open to the public? Include event details and information about tents, canopies, booths, cookhouses, stages, tables, chairs, signs, etc.)

Amplified Sound: Describe any amplified music or announcements that will take place (Note: Use of amplified sound must comply with City Codes and Park Ordinances.)

Trash: All garbage must be removed from park after event. Describe trash/recycling removal plan.

Portable toilets - # of toilets

Company making delivery

Locations in Park

Will Food be Served or Sold?

Yes

Food Served

Food Sold

Food: A King County Health Department permit may be required if food is served and/or sold at an event. It is the applicant's reposonsibility to obtain such permit.

Please Note: No alcohol is permitted in City Parks.

Security/Monitors: Describe your plan for monitors/security at the event:

Will there be any street closures/impacts to streets?

Yes

If yes, you will need to apply for a separate permit through Maple Valley City Hall.

E-mail Tom.Bowen@maplevalleywa.gov to get started.

Will there be any use of/impacts to King County Trails?

Yes

If yes, you will need to apply for a separate permit through King County.

Visit the King County Special Use Permit Webpage to get started.

Describe street closure & impacts to streets/traffic.

Medical Plan: Please describe Medical/Emergency Services Plan

Will you be selling any goods and/or services?

Yes

Please describe: Note-A permit may be required to sell goods and/or services within the City of Maple Valley. Please contact Maple Valley City Hall 425-413-4282 for more information.

Event Timeline: Please attach a file, or describe below a detailed timeline of your event/activity. If your event is on multiple dates, please clarify what activity is occurring on each date of your requested reservation.

Upload File(s)-Event Timeline

Click Here to Upload

Event Admission: Are you charging for admission and/or parking for the event?

Yes

Please describe:

Is this an event involving political or religious activity intended primarily for the communication or expression of ideas?

Yes

Event Website:

Vendors: How many vendors/booths will be at your event? Please describe:

Site Diagram: Please attach a site diagram showing your event layout.

Click Here to Upload

Parking: Describe your parking plan

Mitigation of Impact: How will you notify the local residents? Attach a draft notice that you propose to distribute prior to your event.

Attach letter if applicable

Click Here to Upload

Hold Harmless Statement

I, the Applicant, confirm that the information contained in this application is complete and accurate. I understand that this is only an application and not a guarantee that a permit will be issued.

I agree to assume the defense of the indemnify and save harmless the City, its officers, agents, employees and volunteers from all suits, actions, damages or claims to which the City may be subjected of any kind or nature whatsoever resulting from, cause by, arising out of or as a consequence of such temporary street closure and the activities permitted in connection therewith. The City requires, as a condition of issuance of a permit, that the applicant obtains insurance to serve this end, in such an amount and with such terms as the City determines to be appropriate under the circumstances. This shall be a continuing release and shall remain in effect until revoked in writing.

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Please allow up to 5 business days for staff to review application and follow up with next steps. Your application is in queue and will be processed in the order in which it was received.