Event Permit Application

Please complete and submit the application below. If you have questions as to whether or not you need to submit an application or have questions about the application, contact Beth Durrett at edurrett@madisonthecity.com or 601-856-8958 Ext. 1804.

Application Date *Application must be submitted 30 days prior to event.

Requested Location for Event *

APPLICANT INFORMATION

Name *

Phone *

Email Address *

Signature *

Date *

Please upload proof of insuranceYou must have insurance that clears the City of Madison and your organization from liability.

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Please upload waiver formPlease provide the waiver form that will be given to each person participating in your event.

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