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Mayor's Office of Neighborhoods - Mobile Stage Request Form

This application must be received at least six (6) weeks prior to date of the event. Approval of your request is contingent upon availability and payment of the required fees prior to the event:

Equipment Fee: $600
Monitoring & Security Fee: $25 / hr.
Application Fee: $25

Payment must be made no later than three weeks prior to the date of your event by cash, check or money order made payable to the Director of Finance and submitted to the Permits Office within the Department of Public Works, 200 N. Holliday St., Baltimore, MD 21202

Please Note: The Mobile Stage does not include a sound system or a power generator. The requestor must provide a sound system and generator. A 60kw generator and proper sound system is required for this stage. Proof that both a generator and sound system have been secured must be attached to this request form. A site plan illustrating the desired placement of the stage must also be submitted with this form.  The requestor must also list of all entertainment acts performing on the stage.

Event Information:
Event Name:
Event Location Address:
Event Organizer:
City:
Zip Code:
Event Day Point of Contact:
Event Day Point of Contact Phone: ( ) -
Event Day Point of Contact Email:
Generator Provided By:

Name:

Phone: ( ) -

Sound System Provided By:

Name:

Phone: ( ) -

Will alcoholic beverages be served at this event?
Will fees be charged for this event?
If “yes”, how will the proceeds be used?
Please list ALL entertainment acts that will be performing on this stage.

Dates of Event:

“Rain dates are not available.  Please refer to the calendar to determine if the dates you are requesting are available AND to select the date(s) of your event.

Instructions: If the date(s) of your event are available, begin by selecting the start date on the calendar. Then select your event end date. The calendar will highlight your selection and say "Selection Completed". You can clear your selection and start over by clicking "Cancel Selection" under the calendar. If your event starts and ends on the same date, you may select that date as the start date and then select the same date again as the end date.  You will also need to enter the start and end times of your event in the fields below the calendar.”
Stage Reservation Calendar:
Event Start Time:
Event End Time:

Delivery Information:
Drop Off Location:
Additional Comments:

Responsible Party:
Responsible Party: Name: Title:
Daytime Phone: ( ) -
Evening Phone: ( ) -

Site Plan:

You can upload your required site plan document here. Acceptable files are .DOC or .PDF only.
Upload Site Plan Document:

FOR AND IN CONSIDERATION of receiving the above listed property owned by MAYOR AND CITY COUNCIL OF BALTIMORE, the Undersigned hereby guarantees to return said property in the same condition as received.

IT IS MUTUALLY UNDERSTOOD AND AGREED that in such event the property of the MAYOR AND CITY COUNCIL OF BALTIMORE is lost or stolen, or is returned in a damaged state, the Undersigned and or organization shall be financially responsible for the amount of damages determined by the Department of Transportation.

IT IS FURTHER UNDERSTOOD AND AGREED that the Undersigned and/or organization is responsible for the security of the property from the time of delivery until time of pick-up. City equipment is normally delivered and picked up between the hours of 8:30 a.m. and 4:30 p.m. Monday through Friday.

THE UNDERSIGNED AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE MAYOR AND CITY COUNCIL OF BALTIMORE, ITS ELECTED/APPOINTED OFFICIALS, EMPLOYEES, AGENTS AND VOLUNTEERS FROM ALL AND ANY CLAIMS, DEMANDS, SUITS AND ACTIONS WHATSOEVER, ARISING AS A RESULT OF OR IN CONNECTION WITH THE USE OF CITY PROPERTY BY THE UNDERSIGNED.
Mon. October 13, 2008

Contacts

Phone: (410) 396-4735
Fax: (410) 396-1632