SDCC Forms

Public Realm Event Application Form

Event / Activity Organiser Name of Organisation*:Event Organiser*:Contact Address 1*:Contact Address 2:Contact Address 3:Contact Eircode*:Tel No. / Mobile No.*:Email Address*:

Nature of Event / Activity CharityFestivalFamily / CommunitySportCommercial / PromotionalMusic / ConcertArts and CultureOtherPlease specify:Charity Event / Activity - Name of Charity :Charity Registration Number:

Event / Activity Details Name of Event / Activity*:Anticipated attendance?*:Park / Open space*:If Other please provide GPS of Location:Start Date*:Start Time*:Finish Date*:Finish Time*: Please provide as much detail as possible Description of event/activity*:Has this event happened before?*If yes when / where / or old ref number:Wedding Photos will be non-professional?*: Please indicate if wedding photos at this event are not being taken by a professional photographer.

Responsibility On Site Controller (if different to organiser):Phone No.:Email Address:Event Safety Officer (on site)*:Phone No.*:Email Address*:

Wedding Photos

If wedding photos in South Dublin County Council Parks are not being taken by a professional photographer, please complete and return the attached disclaimer along with your completed application form. However, in all other instances the photographer will require the above-mentioned insurances.

Wedding (Bride & Grooms name): South Dublin County Council will not be held responsible for any injuries, accidents, theft or loss while the Wedding Party is in the Park, or upon entering or leaving the Park. I, as the organiser of this event, have read and accept to be bound by the above condition on behalf of all members of the Wedding Party. Wedding Photos Declaration

Supporting Documentation Safety Management Plan:Public Liability Insurance*:Site Plan / Route Plan:Other Documents: Optionally include other relevant documentation (After selecting a document a new upload button will be added so you can add as many documents as you wish)

Declaration

I have read and understood the terms and conditions, outlined below.

Please tick the box to confirm that you have read and are in agreement with the declaration above:

Terms & Conditions: -

I understand that the submission of my application does not mean I have permission or permission in principle to hold the event and that I may be required to provide more information before the application can be processed.
I confirm that I am over 18 years of age and I have the full authority of my organisation/company to make this application. I certify that the information supplied is accurate. I will accept the undertakings requested by this application.
I understand that false information supplied could result in being excluded for consideration to hold any event on South Dublin County Council property, park or open space.
I agree to pay all fees in relation to processing the application which includes all charges and cancellation fees if applicable.
I understand that South Dublin County Council recommends that the event organiser does not announce press release, marketing information or advertising for their event / activity without the prior consent of South Dublin County Council.

All consultation with business/residents and other premises to be completed prior to commencement of event / activity.
It is the responsibility of the event organiser to ensure that any copyright music being played is appropriately licensed by IMRO.

I certify that the organisation/company will conform to all legal requirements and abide by the terms of the approval.
The applicant is responsible for all and any claims that may arise directly from this Event/Activity.
The applicant must ensure that South Dublin County Council is indemnified with their insurers, prior to the event taking place.
South Dublin County Council or An Garda Síochána reserves the right to cancel an Event/Activity.
The applicant must satisfy themselves that the person responsible for drawing up and implementing their Health & Safety Statement & Risk Assessment Plan for their Event/Activity, is competent to do so. Sole responsibility lies with the applicant to ensure that all elements of plans are carried out as stated in the documentation submitted to South Dublin County Council for the duration of the Event/Activity.
South Dublin County Council bears no responsibility for the management of safety for the duration of the Event/Activity.

Comply with all Health & Safety Legislation, the Safety, Health & Welfare at Work Act 2005, all regulations made there under, and all other relevant legislation, regulations and approved Codes of Practice, to ensure the safe running of this Event/Activity.
Further site specific terms and conditions may apply if approval is granted.
Event organisers must ensure they are in compliance with the Department of Children & Youth Affairs Child Protection Policy and Code of Behaviour for working with children/young people