The City of Perth Amboy greatly appreciates those who request to utilize public spaces to host their event. Events held in the City of Perth Amboy that require approval include, but are not limited to: parades, walks, runs, assemblies, flag raisings, weddings, ceremonies, campaigns, and other events on City property, whether private or public. Please use this form to request the use of any City-owned public facilities or City grounds. If a road or street closure is needed for the specific event, please also indicate that on the form. This form must be submitted at least 45 days before your event date. Also, all attachments, agendas, or programs should be emailed to [email protected].

Depending on the size of your event, you may have to submit a Public Entertainment Application through the Office of the City Clerk. Please see the 343 Ordinance Number to verify if your event qualifies as public entertainment. You may also call (732) 826-0290

No event will be permitted past 10 PM. Amplified sound/music must be turned off 1 hour before the event ends.

​Submitter's Name

​Submitter's Email

Submitter's Phone Number

Submitter's Address

Organization's Name

Organization's Address

Are you a Non-Profit?

Contact Number to share for Public Interest or Inquiry

Please select the request for the use of and name of:

	City Building
	City Grounds
	City Park

Is this event open to the Public?  Yes No 

Please send flyers to promote the event to [email protected]

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​GENERAL DESCRIPTION OF REQUEST

Event Title:
Event Date(s), including alternative dates, including a Rain Date:
Event Time to Begin Set-up:
Event Start Time:
Event End Time:
Event Location:
Other Contact:
Telephone:

 

TYPE OF EVENT:  Check all that apply below:

Festival

Music

Carnival

Civic | Community 

Bike | Cycling

Community Clean-Up

Parade

Health Fair

Run/Walk/Marathon

Procession

Flag Raising

Mayor's Attendance Requested? Yes No 

City Council Attendance Requested? Yes  No

Other Dignitaries Expected to Attend? Yes No

# of Attendees Expected: 

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THE FOLLOWING IS REQUESTED FROM THE DEPARTMENT OF PUBLIC WORKS

​Barricades Yes No     

Containers Yes No    

Garbage Pick Up ​Yes ​No 

Set Up (Please provide details below) Yes ​No

​Please be advised that for non-governmental entities, contact will be required for certain Public Works services.
Contact the Office of Recreation for additional details at (732) 442-4000.

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​THE FOLLOWING IS REQUESTED FROM THE DEPARTMENT OF POLICE

​Police Security Yes No

Traffic Control Yes No

Barricades ​Yes No​

Street Closure Yes No 

Will Parking be prohibited or restricted? Yes  No 

If Yes, once the Perth Amboy Police Department issues your street closure, you must obtain paper NO PARKING signs no later than 72 hours before your event from the Perth Amboy Police Department, 365 New Brunswick Avenue, (732) 442-4400 Special Services Bureau: Sgt. Pascual Medina or Sgt. Jessica De Jesus. 

If so, which streets are requested to be closed?  

​Street Closures: Under 6 hours requires the Mayor's approval, and anything greater than 6 hours requires City Council approval. - Details about the street closure must be provided.
​Please be advised that for non-governmental entities, a contract will be required for police services. Contact the PD for additional details at (732) 442-4400.

Yes No 

​THE FOLLOWING IS REQUESTED FROM THE HUMAN SERVICES

Will you or any vendor be distributing food for Free  or for Sale 

Will the event have food trucks?   Additional permits will be required by the Office of Vital Statistics, (732) 826 - 0549

 

FIRE PREVENTION AND SAFETY

Will your event have any open flame or cooking operations?  Yes  No 

Will your event use generators? Yes  No

Will your event use tents, canopies, or other tensioned structures? All must be flame retardant if cooking underneath. Yes  No 

Will your event have mechanical rides or inflatables? Yes  No 

NOTE:  No cooking, alcohol distribution, or private events are permitted on any city property. I understand and will comply:  Yes 

INDEMNIFICATION

The undersigned Applicant agrees to assume any risk of loss or damage of any kind whatsoever to property or injury to or death, including the wrongful death of persons arising from the Applicant's use of any premises during the Special event. The Applicant further agrees to indemnify and hold harmless the City, its officers, directors, employees, or agents from and against any claims, suits, and demands based upon any of the risks so assumed, whether just or unjust, fraudulent or not, and for all costs and expenses incurred by them in the defense, settlement or satisfaction of any such claims, including attorney's fees and costs of suit. If so directed, the Applicant shall, at no cost or expense to the City, defend against such claims. In this event, the Applicant shall not, without obtaining express permission from the City's Law Director, raise any defense involving the immunity of the City or the provisions of any statutes respecting suits against the City. The Applicant's liability hereunder shall continue after the termination of the Special event concerning any liability, loss, expense, or damage resulting from acts occurring before termination.

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