Special Event Application (New Event) "*" indicates required fields Name of Event*Name of Organization*Name of Contact* First Last Contact Email* Contact Phone Number*Location of Event* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Date of Event*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Start Time* Hours : Minutes AM PM AM/PM End Time* Hours : Minutes AM PM AM/PM Describe your event*(location, run/walk route, sound needs, tent needs, food/beverage etc.)Estimated amount of attendees*Estimated amount of cars and parking location*Please upload your route (if applicable) Drop files here or Select files Accepted file types: png, jpg, jpeg, pdf, Max. file size: 50 MB, Max. files: 10. Will your event have amplified sound?* YES NO Sound Amplification Permit; please describe your sound amplification needs:*Fee - $100/Day (non-refundable); Village Code 3-12. Sound Amplification Start Time* Hours : Minutes AM PM AM/PM Sound Amplification End Time* Hours : Minutes AM PM AM/PM Will your event have tents (larger than 10'x10')/dumpsters/portable bathrooms?* YES NO Temporary Use Permit; please describe your needs:*Fee - $50/Day (non-refundable); Village Code 3-12. Available Media Outlets FREE to Non-Profit OrganizationsCheck the media below that you would like your announcement to appear in. E-Newsletter Electronic Community Event Sign Lobby TV at Village Hall Please upload your Certificate Of Insurance (COI) with the Village of Barrington named as additional insured. (Village of Barrington; Member, its officials, employees, agents and volunteers.)If your event is at Citizens Park, please provide a COI from Lake County Forest Preserve as well. Drop files here or Select files Accepted file types: png, jpg, jpeg, pdf, Max. file size: 50 MB, Max. files: 10. Please upload proof of your current 501(c)(3) Drop files here or Select files Accepted file types: png, jpg, jpeg, pdf, Max. file size: 50 MB, Max. files: 10. Submit