Applicant Details:

First Name *

Last Name *

Email *

What is the name of your Organization? (N/A if applying as an individual) *

Is your organization a registered Non-Profit?

Address: *

Phone Number: *

Activity/Event Details:

Estimated Attendance: *

Estimated Vehicles: *

Are you charging an Admission/Participation Fee? *

If Yes, how much?

What date(s) are you requesting? *

What is the timeframe of your Activity/Event? *

Please describe, in detail, the nature and scope of your event: *

Will Alcohol be served at your event? *

If yes, Do you understand that an addition application is required for which you must be a non-profit to receive, and that you will be required to have additional liability insurance secured before the event is approved? *

Are you requesting the use of a Ball Field for your Activity/Event? *

Will you be selling or distributing Food, Goods, or Services at your Activity/Event? *

Will you be bringing in any special equipment for this event? If so, please list them below. (Stage, Bouncehouse, etc.) *

Are you requesting access to power for your event? (Please note that an additional fee may apply if so, and that not all parks have electrical access.) *

Depending upon the Scale and Location of your event, Do you understand that some Parks do not have bathrooms, and that you will be responsible for and required to provide bathrooms for your event? *

Hold Harmless Agreement

The user will indemnify and hold harmless the City of Jacksonville from and against all claims, damages, losses, and expenses including reasonable attorney's fees, arising out of, or resulting from the occurrence of the park or facility by the user, its agents, servants, invitees, guests and vendors under the license. The user will take all precautions for the safety of, and provide responsible protection to prevent damage, injury, or loss to all persons and property in the park/facility. The user will comply with all laws, ordinances, regulations, or other orders regarding of persons or property, the user will act with responsible care and discretion to prevent threatened damage, injury, or loss.

By checking this Box, I agree to and understand the Hold Harmless Agreement above. *

Special Use Permit - Waiver

The City of Jacksonville, Florida, Department of Parks, Recreation and Community Services, hereinafter known as the "Department," if permission is granted to the person/group making this reservation, hereinafter known as the "Park user", does so under the terms set forth:
1. All trash MUST be gathered and dispose of in receptacles. Park area MUST be left clean.
2. The Park user will reimburse the City for any damage occurring to shrubs, buildings, lawns, equipment, etc. Charges to be determined by the Department.
3. Fees, admission charges, or any type of solicitation is not allowed in City parks unless granted via a Special Use Permit.
4. No vehicles are allowed on areas not specifically designed for traffic use; this includes access through maintenance gates.
5. If necessary, the number of port-o-lets required by the State Health Department have been obtained for the duration of the event.
6. If vendors are used, the required City and/or State permits and insurance certificates have been obtained for the group/person holding the event.
7. If musical entertainment is being provided, the volume will be kept at a level that does not violate Section 368.201, Ordinance Code, Noise Control, or State Statute, Breach of Peace/Disorderly conduct. Amplified sound is only permitted at the designated locations.
8. The Department is not responsible for providing on site equipment or electricity.
9. Bringing a horse into a city Park is prohibited by the City Council Ordinance 87-846-522, 634-133 (a) (2). This does not apply to Sheriff's Office Mounted Patrol or to horses in City special events approved by the Director.
10. Unless explicitly stated, an approved permit DOES NOT grant exclusive use of the park to the above-mentioned person/group, but it DOES grant exclusive use of the specified area of the park listed on the permit.

THE CONSUMPTION OF ALCOHOLIC BEVERAGES IS NOT PERMITTED. PER SECTION 154.107(a)(10), ORDINANCE CODE, IT SHALL BE UNLAWFUL AND A CLASS "B" OFFENSE FOR ANY PERSON TO SELL, SERVE OR CONSUME ANY ALCOHOLIC BEVERAGE UPON ANY PROPERTY OWNED, LEASED OR OTHERWISE OCCUPIED BY THE CITY UNLESS THE PROPER PERMITS, INSURANCE, AND EXEMPTIONS HAVE BEEN ATTAINED.

VIOLATION OF ANY OF THE ABOVE MAY RESULT IN YOUR IMMEDIATE REMOVAL FROM THE PARK BY THE JACKSONVILLE SHERIFFS OFFICE.

By checking this box, I agree to and understand the terms set forth and listed above in the Special Use Permit Waiver. *

Applicant Signature *

Supporting Documents:

If you have any supporting documents for this event, please upload them here. (Site Plan, Proposal, Insurance, Flyer mockup, etc.)[1]

If you have any supporting documents for this event, please upload them here. (Site Plan, Proposal, Insurance, Flyer mockup, etc.) [2]

Special Use Permit Application

Applicant Details:

Activity/Event Details:

Hold Harmless Agreement

Special Use Permit - Waiver

Supporting Documents: