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2. Submission of an application is not a guarantee of approval.

   All applicants should read the Special Events Policy before submitting an application. 

   Applications will not be considered until the appropriate application fees are paid at the City of Martinsville Treasurer's Office. For fees, see the special events policy. 

   Applicants who plan to host their special event at a park facility must reserve the park prior to submitting the special event application.

   We strongly encourage you to create an account. Once you login and start the application there will be a save progress button at the top of the page. Please save the document often. This will allow you to save your document and make changes at a later date.

   Please see the policy for application deadlines. 

4. Please note:

   The information requested in this application form will be used to determine eligibility for approval for the event requested. 

   Completed forms may be released upon the request of any citizen, as provided by the Freedom of Information Act. 

   Please note there may be other applications and forms you will need to complete for your event, but completion of this application is mandatory for ALL events. 

   Any misrepresentation in this application or deviation from the final permit conditions may result in immediate revocation of the permit, the halting of the event, and possible loss of privilege to host events in the future.

6. Frequently Asked Questions

   Special Event Application FAQs

   Please refer to the Special Event Application FAQs for timelines, explanation of procedures, and links to other forms and resources. 

8. Event Information
10. Event Title *
12. Brief Description*
14. Is this a first-time event?

    1. Yes
    2. No
16. Applicant First Name*
17. Applicants Last Name*
19. Address*
21. City*
22. State*
23. Zip Code*
25. Phone Number*
26. Email Address*
30. About the Event
32. This event is a...*

    See Special Events Policy for classification guidelines. The SEO will determine final classification. 

    1. Tier 1 Event (200+ persons)
    2. Tier 2 Event (Under 200 persons)
    3. Demonstration/Protest

    1. Race (Foot or Bike)
    2. Parade

    1. Neighborhood Block Party
    2. Filming
34. Event Location*
36. Alternate Event Location
38. Event Map or Route
40. Proposed Date and Time*
    Proposed Date and Time Start Date

    Proposed Date and Time Start Time

    —

    Proposed Date and Time End Date

    Proposed Date and Time End Time
42. Rain Date
    Rain Date
43. Set Up Time*
    Set Up Time
47. Event Information By Department
49. Public Works
51. Are you reserving a park?

    This request does not serve as your park reservation.

    1. Yes
    2. No
53. Name of reserved park*
55. Parking lot usage required?

    1. Yes
    2. No
57. Name/location of parking lot to be used*
59. Are you requesting a street closure?

    1. Yes
    2. No
61. Street closures requested*
63. Utility services needed beyond those available at the site:

    Check all that apply

    1. Electricity
    2. Other
65. If selected other,
67. Police & Fire Department
69. You are requesting assistance from:

    1. Police

    1. Fire

    1. EMS

71. Police requests require registration and payment through their Off-Duty Management. Click here to request an Off-Duty Officer. 

73. This event is

    1. Open to the Public

    1. Private, invitation only
75. Anticipated number of visitors*

    1. 0-199

    1. 200-499

    1. 500-999

    1. 1000+
77. This event includes

    1. Fireworks

    1. Water activities

    1. Sport activities
79. This event includes amplified sound*

    1. Yes
    2. No
80. Type of Sound

    1. Voice/Speaking
    2. DJ/Recorded Music
    3. Live Music
82. Requested times of amplified sound
    Requested times of amplified sound Start Time

    —

    Requested times of amplified sound End Time
84. Outdoor Structure(s) will be used

    1. Tents

    1. Stages

    1. Other
86. If selected other*
88. Number and Size(s) of Tent(s)*
90. Number and Size(s) of Stage(s)*
92. This event will feature animals

    1. Yes

    1. No
94. Describe the animals
96. Commissioner of the Revenue
98. Person or Organization producing this event*
100. Tax ID#
101. Business License#
103. Food or beverages will be*

     1. Sold

     1. Distributed

     1. Served

     1. N/A
105. Alcoholic beverages will be*

     1. Present

     1. Served

     1. N/A
107. Total Number of Food Vendors
109. List the name(s) of all food/beverage vendors
111. Merchandise will be*

     1. Sold

     1. Distributed

     1. Sold by vendors

     1. N/A
113. Will this event require an entry fee or donation?*

     1. Yes
     2. No
114. How much is the entry or request donation?*
116. Inspections and Zoning
118. Amusement rides or devices

     1. Inflatable

     1. Minor

     1. Major

     1. Spectacular
120. I acknowledge that I will provide a Certificate of Insurance for required rides

     1. Yes
     2. No
122. List of Rides
124. Permits and/or inspections have been obtained and/or scheduled

     1. Yes
     2. No
126. Temporary event signs requested

     1. Yes
     2. No
128. Sign description and locations
130. Portable restroom facilities will be provided*

     1. Yes
     2. No
132. Number of portable restrooms
133. Number of ADA compliant restrooms
137. Upload Street Closure Petition (See Appendix II in Special Events Policy)
139. Certificate of Insurance
141. Acknowledgement *

     By checking yes, I acknowledge that my Special Event Application will not be reviewed until the application fee is paid at the City of Martinsville Treasurer's Office and the receipt is delivered to the Public Information Office. 

     1. Yes
Leave This Blank:


143. 1. Receive an email copy of this form.
144. Email address

     This field is not part of the form submission.

145. Submit

* indicates a required field