HomeMy WebLinkAboutPublic Gathering Permit - Office Mental Health Awareness Run at Nature Park 7/5/2025.pdfAction History (UTC-07:00)
Submit by Anonymous User 6/4/2025 5:20:30 PM (Public Gathering Permit Submission)
Approve by Marianna Gonzalez 6/9/2025 8:52:37 AM (Cust Serv Calendar Approval)
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The due date is: June
6, 2025 5:00 PM. The priority is: High 6/4/2025 5:20:32 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 6/9/2025 8:52:31 AM
Approve by Deborah Lovejoy 6/9/2025 10:19:20 AM (City Clerk Approval)
The task was assigned to Deborah Lovejoy. The priority is: Medium 6/9/2025 8:52:43 AM
Approve by Joshua Rhodes 6/12/2025 9:33:01 AM (Chief of Police Approval)
The task was assigned to Gary L. Hagen, Joshua Rhodes. The priority is: Medium
6/9/2025 10:19:21 AM
Email was sent for reminder "Task Reminder" 6/11/2025 10:19:46 AM
Joshua Rhodes assigned the task to Joshua Rhodes 6/12/2025 9:32:46 AM
Approve by Corey Child 6/16/2025 12:00:15 PM (Fire Department Approval)
The task was assigned to Corey Child. The priority is: Medium 6/12/2025 9:33:02 AM
Email was sent for reminder "Task Reminder" 6/16/2025 9:33:30 AM
Approve by Marianna Gonzalez 6/17/2025 3:55:46 PM (Customer Services Permit Finalize)
CUSTOMER PAID
The task was assigned to Marianna Gonzalez, Amanda Williams, Deborah Lovejoy. The priority is:
Medium 6/16/2025 12:00:15 PM
Marianna Gonzalez assigned the task to Marianna Gonzalez 6/17/2025 3:44:09 PM
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
6/4/2025
Mental Health Awareness Run at Nature Park
Nature Park in Rexburg
Permit approval will in part be based on prior calendared events. City sponsored events will have first priority.
7/5/2025
9 am to 3:30 pm
50 to 100
Please give a complete description of event
I plan on having participants run around nature park to spread mental health
awareness. For the event, they will be asked to donate supply donations for patients
at a psychiatric hospital in Blackfoot. Donations will consist of hygienic items such
as toothpaste or toothbrushes, and used clothing. No cash donations will be
involved. We plan on setting up at a few of the park benches and tables to collect
donations.
Yes No
Nicholas Ibanez
noibanez0523@gmail.com
City
Rexburg
State / Province / Region
ID
Postal / Zip Code
83440
Country
United States
Street Address
431 W 4th S
Address Line 2
Apt 11
9095015690
Crowd Control Plan *
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.
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.
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.
Please indicate your plan for crowd control at this event
I plan on setting up a specific route around the park that I will explain to the
participants before they start the event. Also, individuals are expected to show up at
different times throughout the day in order to allow for crowd control.
This permit must be present at the event, and must be available upon request
(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- $6.75 per 90 Gal Cont + $30 Delivery Chrg
City Event Sponsorship
Please enter approximately how long the event will last
7 hours
Standard Permit Application Fee 50.00
Yes No
Please upload a PDF of proof of liability insurance unless it is a private gathering in a public place. You may also
contact your insurance company and have them send us a copy.
Signature of
Applicant
Recreation
Notification
Other Requirements
Total Permit Cost
Sign
Office Use Only
Recreation Notification
50.00$