Special Event Application (Recurring Event)

Please use this form if your event occurs annually. Fee - $100/Event (non-refundable); Village Code 7-6-21 For more information regarding fees associated with special events visit: barrington-il.gov/feeschedule

"*" 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 ZIP Code

Date of Event*

Start Time*

End Time*

Describe any changes to your event this year:*

(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

Accepted file types: png, jpg, jpeg, pdf, Max. file size: 50 MB, Max. files: 10.

Will your event have amplified sound?*

YES

Sound Amplification Permit; please describe your sound amplification needs:*

Fee - $100/Day (non-refundable); Village Code 3-12.

Sound Amplification Start Time*

Sound Amplification End Time*

Will your event have tents (larger than 10'x10')/dumpsters/portable bathrooms?*

YES

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

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

Accepted file types: png, jpg, jpeg, pdf, Max. file size: 50 MB, Max. files: 10.