Town of Greeneville Event Application

Town of Greeneville Event Application
Special Event Permits are issued to allow street closures, use of public space, and use of City services for public events. Please make sure you have read the Special Events Municipal Code before you begin filling out this form. Once an application has been received, it will be shared with the Special Event Committee, which includes Administration, Police, Fire, and Public Works. Additional requirements may be required at that time. All event organizers must meet with the Special Event Committee, unless notified otherwise.

The Special Event types are:
Special Event (Street Closure)*
Special Event (Serving Alcohol)
Road Race (5K, 3K, etc.)
Parade

*A Special Event held on Depot Street has additional form fields.
Event Name*
Organization or Business Name*
Name of Event Organizer*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
name@company.com
Phone Number*

Event Details
Event Date (Day 1, if applicable)*

MonthDayYear
Date
Street Closure Time (if applicable)

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Actual Event Time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
If event has additional dates, please list dates, street closure and event times
Estimated Number of Attendees*
Maximum number of street vendors (if applicable)*
Type 0 if no vendors
Please reference the Street Vendor Permit section in the Special Event Ordinance and have each street vendor fill out the required Street Vendor Application
Admission / Entry or Registration Fee*
Type 0 if no fee

Street & Safety Plans
Which streets are you requesting to be closed and at what intersections?
If closure of Depot is requested, more information will be required later in the form
Public Facilities Plan*
Planned portable toilets (standard and/or handicap), hand wash stations, etc.
Upload attachment, if necessary

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Public Safety Measures*
Requested officers, EMS, first aid kit availability, etc.
Upload attachment, if necessary

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How many blue "toters" (rolling trash cans) are requested and where would you like them dropped off?
What type of special event are you planning?*

Special Event (Serving Alcohol)
Town of Greeneville ordinances allow for events to serve alcohol (beer) in the B2 Zone. Please print and fill out the Beer Application Packet and follow the instructions included therein, as well as answering the following questions.
What is the location where beer will be served and consumed?*
Describe your detailed plan to confine consumption to the above location*
Location Map

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Source of beer sold (ensure provider is licensed to sell beer)*
Event Checklist

Indemnification Agreement (attach on last page of form)Written permission from property owners (if necessary)General liability insurance certificate (due at least one week prior to event date)Proof of business license (either from applying organization or event caterer)
The undersigned applicant hereby agrees to indemnify and hold harmless the Town of Greeneville, its officials and employees from all liability, claims, and damages, including costs of defense and reasonable attorney’s fees, arising out of or relating to the event for which this application for a Class C beer permit and/or Special Event permit is made, excepting only such liability, claim or damage that results from the willful misconduct or gross negligence of the indemnified party.

$1,000,000 Liability Insurance Certificate naming the Town of Greeneville as Certificate Holder required for event. Please attach below if already obtained.
Event Organizer must agree*

Yes, I agree to the above statements.
Signature*

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Depot Street (from College to Cutler)
Are you planning to hold your event on any part of East or West Depot Street from College to Cutler?*

Depot Street Options
Due to the uniqueness of Depot Street, event organizers must choose one option from the four approved layouts below. These options are the only ones that have been approved by the Greeneville Fire Department. Events must allow at least a 12-foot wide clearance to allow for emergency vehicle clearance.
Choose one layout option for your event*

Option 1 - Tabletop focus with stage facing toward Main Street, food trucks leading up to Main from TabletopOption 2 - Tabletop focus with stage facing toward Irish Street, food trucks leading down toward Irish from TabletopOption 3 - Stage placed near Irish and Depot intersection (with option of partial car show near Main), food trucks positioned from Irish to the Tabletop areaOption 4 - Full car show (up to 27 cars) on Depot from Main to Irish, food trucks can be placed from Irish to Cutler or from Main to College; Stage placement would need approvalOption 5 - Use of Tabletop area for open-air dining, no stage or food trucks
This event will have food trucks or food booth vendors*

YesNo
If so, how many? (maximum of 5)
The Town of Greeneville does not allow external generators to be used on Depot Street. Based on the option chosen for your event, temporary electric boxes will be placed to accomodate your layout. If and when your event option is approved by the Greeneville City Council, your plan may not be altered, amended, modified or revised without Committee approval.
Additional options requested (if bollards are used, all set up must occur before they are placed. All vendors would need to arrive at least 2 hours prior to event start time.)

Yellow bollards (up to 4) at Main and DepotYellow bollards (up to 4) at Main and Irish
Additional explanation or needs for your event on Depot Street

Road Race/Walk Options
If your organization is planning a road race/walk, please select from the approved road race courses below.
Approved Courses*

Hold Harmless Clause and Signature
I agree to faithfully perform all obligations under the Town of Greeneville’s
Special Events Ordinance.

I indemnify and hold harmless the Town of Greeneville from any and all
claims or losses arising out of the acts or omissions of myself, my employees,
officers and agents.

I have read and agree to abide by all the rules and regulations of this event.
Required*

Yes, I agree with the statements above
Signature*

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*Police Chief, Fire Chief, and Public Works Director approvals are required. Upon their approval, they will sign and date a paper copy of this form during a Special Event Review Committee meeting. Event organizer may be required to attend this meeting if questions arise after application submission. After Police, Fire, and Public Works approval, the application will be presented at the next Greeneville City Council meeting.
Police Chief
Signature
Date
Fire Chief
Signature
Date
Public Works Director
Signature
Date
Should be Empty:

Town of Greeneville Event Application

Event Details

Street & Safety Plans

Special Event (Serving Alcohol)

Depot Street (from College to Cutler)

Depot Street Options

Road Race/Walk Options

Hold Harmless Clause and Signature