HomeMy WebLinkAboutPublic Gathering Permit - Office Madison 4th Grade Rendezvous 5/19/2025.pdfAction History (UTC-07:00)
Submit by Anonymous User 3/6/2025 4:16:09 PM (Public Gathering Permit Submission)
Approve by Marianna Gonzalez 3/7/2025 10:46:42 AM (Cust Serv Calendar Approval)
Mayor Merrill waives fees
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The due date is: May
5, 2025 5:00 PM. The priority is: High 3/6/2025 4:16:10 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 3/7/2025 10:42:24 AM
Approve by Deborah Lovejoy 3/7/2025 12:09:49 PM (City Clerk Approval)
The task was assigned to Deborah Lovejoy. The priority is: Medium 3/7/2025 10:46:44 AM
Approve by Gary L. Hagen 3/7/2025 12:20:29 PM (Chief of Police Approval)
The task was assigned to Gary L. Hagen, Joshua Rhodes. The priority is: Medium
3/7/2025 12:09:51 PM
Gary L. Hagen assigned the task to Gary L. Hagen 3/7/2025 12:20:23 PM
Approve by Corey Child 3/7/2025 12:46:03 PM (Fire Department Approval)
The task was assigned to Corey Child. The priority is: Medium 3/7/2025 12:20:30 PM
Approve by Marianna Gonzalez 3/10/2025 8:40:35 AM (Customer Services Permit Finalize)
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The priority is:
Medium 3/7/2025 12:46:04 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 3/10/2025 8:40:29 AM
City of Rexburg Public Gathering/Parade Permit
Public gathering permit application for events in a public street or venue that will have an impact
on the public.
Reference: Ordinance 759 & Ordinance 810 - An application for a permit shall be filed with the City Clerk at least
FORTY-FIVE days (45) and not more than one year before the parade or public assembly is proposed to commence. An
"Expedited Application Fee" of $25.00 will be added if received less than 21 days prior to the event
Date of Application
Event Name *
Event Location *
Date of Event *
Time of Event *
Number of
Participants and
Observers *
Description of
Event *
Check "Yes" if Event
is a 5K Race:
Sponsoring Group
Applicant Name *
Applicant Email *
Applicant Address *
Phone *Phone 2
Crowd Control Plan *
3/6/2025
Madison 4th Grade Rendezvous
Smith Park
Permit approval will in part be based on prior calendared events. City sponsored events will have first priority.
5/19/2025
7:30 a.m.-2:30 p.m.
up to 300 (3-4 schools)
Please give a complete description of event
This is our yearly Rendezvous in the park with 4th Graders from Lincoln, Hibbard
and Kennedy Elementary and perhaps South Fork. We have several community
members participating as well such as the DUP chapter.
Yes No
Madison School District
Mrs. Marian Hayes
hayesm@msd321.com
City
Rexburg
State / Province / Region
Idaho
Postal / Zip Code
83440
Country
United States
Street Address
358 East 2nd South
Address Line 2
2087096982
Please indicate your plan for crowd control at this event
Besides the teachers with their classes, special ed aides, there will be other adults
running stations for the kids to rotate through.
This permit must be present at the event, and must be available upon request
If NON-PROFIT
provide 501(c)c (3)
No.
Attach a map showing proposed street closures and route for the event. You may use the GIS Parcel Viewer Map to
create your map.
Map of Event
Location
City Services
Estimated Hours
Permit Application Fees - Standard Public Gathering Permit Fee is $50.00
Standard Public Gathering Permit Fee is $50.00
Permit Fee Type Permit Cost
Add Standard Permit Fee AND $25 Expedite Permit Fee if application is received less than 21 days prior to event
Did you make a Park Shelter or Carousel Reservation?
Shelter Rental Park Shelter Rental Permit #
To Make a Park Shelter or Carousel Reservation Click Here.
Park Shelter/Carousel Rental
Shelter Rental Fee Units Blocks/Hours Shelter Fee
Total
Certificate of Liability
Insurance
Any other gatherings in the same area at the same time are not to be disturbed.
With the issuance of the permit, the applicant is responsible for the crowd control. If any disturbances of any sort
occur; the City of Rexburg Police Department has the right to revoke this permit at any time.
Upon notification of permit approval, Payment for services due seven (7) calendar days prior to the
event, or the event may be canceled.
(Map must be a PDF)
Additional fees may be added if City Services are needed for an event. Additional costs will be calculated during
the City approval process.
Police- 1 officer $64 per hour
Fire Crew- $300 per hour
Ambulance Crew- $200 per hour
Public Works- Dependent on service
Park Shelters/Carousel Rental
Extra Garbage- $6.33 per 90 Gal Cont + $25 Delivery Chrg
City Event Sponsorship
Please enter approximately how long the event will last
6
Yes No Smith East
Yes No Smith South
Yes No Smith Gazebo
$1 1 0.00$
Please upload a PDF of proof of liability insurance unless it is a private gathering in a public place. You may also
contact your insurance company and have them send us a copy.
If damage or excessive cleanup is needed to restore city property back to its previous condition, you may be billed
restoration fees.
For questions, call the City Clerk at (208) 372-2313.
Signature of
Applicant
Recreation
Notification
Other Requirements
Total Permit Cost
Sign
Office Use Only
Recreation Notification
Needs to have restrooms at Smith Park open and the water turned on.
0.00$