Form Center

2. Important Information

   Applications are accepted and processed on a first-come, first-served basis. Applications must be received a minimum of thirty (30) days in advance of the activity. Applicants will be notified within (10) days of their approval status.

   Individuals and/or organizations must apply for a Special Use permit or other appropriate permit to utilize any County-owned/leased property including a park, trail or historic site.

   Street parking is available for these sites and is subject to municipal parking regulations.

4. Applicant Full Name*
5. Date of Application*
7. Name of Organization (if applicable)
8. Primary Contact Cell Phone Number*
10. Primary Contact/Organization Address
11. Primary Contact Email Address*
13. Primary Contact/Organization City, State, Zip
14. Is this organization a nonprofit?
    -- Select One --YesNo
16. Open to the public? Or pre-registration required?*
17. Expected number of participants*
19. Name of Event*
20. Location Requested*
    -- Select One --County Courthouse Steps (Outdoors)One Montgomery Plaza Area (Outdoors)Airy Street Lot (Corner of DeKalb & Airy)Markley Street Lot (Corner of Markley & Penn)Human Service Center Innovation Room
22. Date(s) Requested
    Date(s) Requested Start Date

    —

    Date(s) Requested End Date
23. Event Timespan
    Event Timespan Start Time

    —

    Event Timespan End Time
25. What time is set up?
    What time is set up?
26. What type of event is this?
    -- Select One --Speech/PresentationRally/DemonstrationConcertCommunity Festival/Block PartyCar ShowWalk/Run/Bike RaceOther (please describe below)
27. Are you requesting media?*
    -- Select One --YesNo
29. Please explain in detail the proposed activity
31. If you chose "Other" for type of event, please describe here.
33. Check each that apply to the event. These are not supplied by the County and may require approval from the municipality.*

    1. Sound Amplification
    2. Posters/Signs/Banners
    3. Food Vendor(s)
    4. None of the above
34. Check if your event will require (Supplied by the County during normal business hours):*

    1. Podium
    2. Microphone
    3. Flagpole
    4. Tables (Max. 2)
    5. Chairs (Max. 4)
    6. None of the above
36. Please upload insurance certificate here
37. Please upload any additional information here

    **We may ask for further documentation regarding the event.**

39. Agreement to Terms and Conditions

    This agreement between the below named individual herein after called the permittee and Montgomery County Public Property Division is as follows:  Whereas the permittee does hereby remise, release and forever discharge Montgomery County, its servants, agents, successors and assigns from any and all liability of any nature and/or any and all actions and cause of action, suit, debts, dues, accounts, bonds, covenants, contracts, agreements, judgements, claims and demands of whatsoever nature in law of inequity arising from or due to the use of a Montgomery County property. The permittee also agrees to indemnify, defend and hold harmless the Public Property Division, the County of Montgomery, its agents, employees, servants, successors and assigns from any and all claims and losses accruing or resulting to any person, firms or corporations in connection with the usage of the above listed premises. I HAVE READ AND WILL BE RESPONSIBLE FOR ENSURING THAT THE PROCEDURES, RULES AND REGULATIONS WILL BE FOLLOWED.

    Your printed name below will serve as your signature in agreement to the agreement above and the policies documented...

41. Applicant Signature
Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field