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Special Event Permit Application

  1. Contact Information
  2. i.e., event chair, board member, etc.

  3. Event Details
  4. i.e., race, parade, market, block party, etc.

  5. If available, please provide a website with event details.

  6. Event Information
  7. If yes, check all that apply.
  8. i.e., live band, recorded, etc.

  9. Insurance Information
  10. Certification and Signature
  11. I understand and agree on behalf of the sponsoring organization that:
  12. 1. A Certificate of Insurance must be provided which names the Town of Zionsville as an additional insured party on the policy (refer to Special Event Policy for insurance requirements).
  13. 2. Event sponsors will be required to sign an Indemnification agreement.
  14. 3. The approval of this Special Event Permit Application may include additional requirements and/or limitations, based on the Town's review of the application in accordance with the Town's Special Event Policy. The event will be operated in conformance with the Written Confirmation of Approval.
  15. 4. The Event Sponsor will pay the $100 Special Event Permit Application Fee as required by the Town and will pay any invoice for Town Services which may be rendered.
  16. By checking below, I agree to the terms and conditions.*
  17. Indemnification Agreement
  18. Event Sponsor agrees unconditionally, absolutely, and irrevocably to defend, protect, and indemnify and hold harmless the Town of Zionsville, Indiana and its officers, agents, servants, and employees, from any claim, demand, suit, loss, cost or expense or any damage which may be asserted, claimed or recovered, against the Town of Zionsville, Indiana, by reason of any damage to property, personal injury, including death, sustained or claimed by any person or entity and which damage, injury or death arises out of or is in any way connected with the Event, and regardless of whether the damage, injury, or death is caused in whole or in part by the Event Sponsor, or by its officers, agents, servants, employees, vendors, subcontractors, or volunteers or by event participants or attendees.
  19. By checking below, I agree to the indemnification agreement.*
  20. Attachments
  21. Attach a route map if this event is a run or walk.

  22. Include a proposed site plan detailing your event. Include details such as barricade/cone placements, food/beverage vendors, water or electricity usage, portable restrooms, stages, tents, 

  23. Event sponsors or host organizations must provide a Certificate of Insurance naming the Town of Zionsville as an additional insured party on the policy. The COI must be submitted before the special event permit will be released. 

  24. Special Event Permit Application Fee
  25. You will receive an invoice for the $100 Special Event Permit Application fee on the following business day via email. Payment of this $100 fee is expected prior to staff review.
  26. Leave This Blank:

  27. This field is not part of the form submission.