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2. Application Requirements
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3. Photo and Film Permit Code of Conduct
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4. Equipment Rental List
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6. Production Company, Organization or School Name
8. Representative First Name*
9. Last Name*
11. Address1*
13. City*
14. State*
15. Zip*
17. Contact Person While on Location - First Name*
18. Last Name*
20. Daytime Phone*
21. Cell Phone*
22. Email*
24. Local Production Office Address
26. Producers Name
27. Production Manager Name
29. Location Manager Name
30. Assistant Location Manager Name
32. Production Information *

    1. Feature Film
    2. Commercial
    3. Corporate Video

    1. Professional Photography Shoot
    2. School/student Project (photography or film)
36. Event Information
38. Date*
    Date
39. Arrival Time*
    Arrival Time
40. Departure Time*
    Departure Time
41. Site*

    1. Public Site
    2. Private Property
43. Location*
    This is the site, address or nearest intersection you will be working.
45. If more than one date complete the items below:
47. Date
    Date
48. Arrival Time
    Arrival Time
49. Departure Time
    Departure Time
50. Site

    1. Public site
    2. Private Property
52. Location
    This is the site, address or nearest intersection you will be working.
54. Date
    Date
55. Arrival Time
    Arrival Time
56. Departure Time
    Departure Time
57. Site

    1. Public Site
    2. Private Property
59. Location
    This is the site, address or nearest intersection you will be working.
61. Number of production vehicles on-site*
62. Total number of vehicles on-site*
63. Size of crew*
64. Number of talent*
66. Will you be requesting reserved parking areas on public streets?*

    1. Yes
    2. No
67. Will you be requesting road closures?*

    1. Yes
    2. No
69. Will you be requesting assistance from our Public Safety Dept. (police or fire)?*

    1. Yes
    2. No
71. Description of event*
    Describe purpose of event and what we should expect on the dates of the event.
73. Anticipated need for city services
    Example: police or fire personnel, public sidewalk or road closures, special needs for event.
75. The applicant acknowledges the following*

    1. I have read and agree with the apllication requirements

    The applicant agrees to reimburse the City of East Grand Rapids for the cost of any services provided by the city as a result of the event. The applicant agrees to obtain and maintain a certificate of liability insurance demonstrating approved coverage throughout the event and naming the City of East Grand Rapids and East Grand Rapids Public School District as an additional insured. A copy of the insurance certificate must be provided no less than 48 hours prior to the event. Applicant hereby releases the City of East Grand Rapids, its officers, agents, and employees from all liability and waives any and all rights and claims for any and all injuries or damage to person or property, possible exposure to and illness from infectious diseases including but not limited to MRSA, influenza, and COVID-19 and accidents which may occur as a result of the use of City facilities. While particular rules and personal discipline may reduce this risk, the risk of injury, serious illness and death does exist. In addition, applicant agrees to indemnify the city, its officers, agents, and employees from and against any and all claims, judgments, losses, damages, demands, and legal proceedings arising out of or resulting from the use of City facilities. I understand that all information submitted to the City of East Grand Rapids is considered public information and subject to disclosure under the Freedom of Information Act.
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80. 1. Receive an email copy of this form.
81. Email address

    This field is not part of the form submission.

82. Submit

* indicates a required field