Online Special Events Application Form

Name of Applicant:*



Event Point of Contact Name:*

Point of Contact Phone:*


Name of Event:*
Date(s) of Event:*
Event Location:*
Official Start Time:*
Official End Time:*
Rain or Shine event? Yes or No
Is your event free and open to the Public? Yes or no*
Expected Attendance (include Crew, Participants, Spectators)*
Organization's Website:*
Organization's E-mail:*
Address of Organization:*
Daytime Phone:*


Charity Organization? Yes or No*
Setup Date/Time:*
Final Wrap-Up time:*

For the following questions, please provide a yes or no answer.

Has this event been held previously? Yes or no*
If yes, please provide the date, location, and attendance.
Have you included a site map for this Special Event?*
Are you requesting any road closures for this event?*
Are you requesting alcohol to be served in public/park area(s)?*

*Sale/Serving of Alcohol may require Police Presence.

Are you providing portable restrooms for this event?*
Are you requesting use of the City’s Special Event Trolley?*
Will Outside food/beverage/retail sales take place during this event?*
Are you requesting cooking be conducted in public/park area(s)?*

*Please complete the Temporary Concession Stand Permit Application for each vendor cooking on site.

Will temporary structures (Tents, stage, etc.) be used in the event?*
Are you requesting vehicle(s) to enter any beach / park area(s)?*
Have you have completed the City of Gulfport Special Duty Agreement for Public Safety?*

*Public Safety (Police and Fire) as determined by the Police and Fire Chiefs.

Are you requesting display of outdoor/right of way signage during event?*
Does your group have proof of liability insurance naming the City as an additional insured?*
If so, what is the amount?*
Does your event have Music, Entertainment and amplified music?*
What is your plan for waste managment, sanitation and event clean up?*
Please describe how the event will benefit the residents and impact the quality of life/overall image of Gulfport:*
Please list all applicable activities and/or known services for this event. *

Please complete the following sections of this application in narrative format. Provide as much detail as possible for activities applicable to your event. If any of the following sections do not apply to activities, service, or needs for your event, please write N/A (for not applicable).

Physical Amenities/Vendors: (Please name all vendors who will provide entertainment and the type of entertainment provided, name all vendors being contracted for physical amenity services. Please include number of water stations, number of portable restrooms, sanitation plans, staging, beer truck plan, hand washing stations, or any other amenities used to keep attendees comfortable. Locations must be shown on the site map.)*
Please describe in full detail any other activities not previously addressed. (Please include the use of any external lighting sources, electrical/generator usage, (both vendor and applicant), fire lane usage, ingress, egress, public safety plan, sales, and/or tent usage.*
Please specify the purpose of and any extraordinary details or requests/requirements of this event:*

I agree to the TERMS OF AGREEMENT as set forth in this application, and I agree to abide by all rules and regulations as provided by separate document with this applications response. The applicant represents and warrants that it has the full right and authority and has obtained all necessary approvals to enter into this Agreement, that the person executing this Agreement on behalf of the Organization is authorized to do so, and that this Agreement constitutes a valid and legally binding obligation of the Applicant, enforceable in accordance with its terms.

Please submit your application and proceed.