Parade Permit

This form is required to be completed, printed and submitted with an original signature to the Office of the Mayor for any and all organized parades within the City of Medina.

*Name of Sponsoring Organization:
*Address:
*Phone:
*Purpose of Parade:
*Date of Parade:
*Time of Line-Up for Parade:
*Actual Time of Parade (start to finish):
Number of Participants:
Number of Vehicles:
*Route: (A detailed Map required):
How many barricades are needed:
Cones:
Security Arrangements:
First Aid Arrangements:
Trash Arrangements:
Items to be picked up at City Garage::
Items to be delivered to specific site: :
*Organization:


Please see attached lending form if barricades and/or cones are required from the Street Department. FOR SAFETY PURPOSES, NO OBJECTS ARE TO BE THROWN FROM ANY PARADE VEHICLE. IT IS THE RESPONSIBILITY OF THE SPONSORING ORGANIZATION TO NOTIFY PARTICIPANTS IN THE PARADE OF THIS RULE. *Please note spray paint is prohibited on the street and/or sidewalk when marking the parade route.* Street Department Lending Form PLEASE CALL 330-722-9037 FOR AVAILABILITY OF BARRICADES/CONES NEEDED Please complete this lending form if you wish to have the barricades/cones delivered to a site you specify or if you prefer, you may come to the City Garage at 781 West Smith Road to pick-up and drop-off the barricades/cones. Please keep in mind you will be responsible to ensure the correct number of barricades/cones that are returned to the Street Department. I would like to borrow the following: Barricades:__________________________ Large Cones: ______________________________Small Cones:________________ Signature:____________________________Date:_____________________ Print Name:____________________________Phone:__________________ Address:______________________________________________________ Organization:__________________________________________________ For office use only: Date of pick-up/drop off:____________________________________________ Date of Return:__________________________ Count Verified_____________

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