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2. 
3. Program Overview & Application:

   On September 5, 2023, the Healdsburg City Council adopted a Resolution establishing a Special Performance Permit Policy for the Healdsburg Plaza to strike a harmonious balance between public entertainment and tranquility in this public space. Under this program, performers of all disciplines, including music, theater, and dance, have the opportunity to schedule their performances in the Plaza. 

   Application - Applicants can conveniently apply using this online form or apply in-person at the Abel De Luna Community Center (1557 Healdsburg Ave.). Applications must be submitted at least two weeks in advance and no more than two months of the requested performance date. Community Services Staff will process applications and issue permits on a first-come, first-served basis. There are no fees associated with this program.

   The program went into effect on Monday, September 18, 2023. Please contact Healdsburg Community Services with questions. 

5. First Name*
6. Last Name*
8. Primary Phone Number*
9. Cell Phone Number*
11. E-Mail *
13. Address*
15. City*
16. State*
17. Zip Code*
21. Important Reminders:

    •    A Special Performance Permit is required for all performances in the Plaza.

    •    Performances may occur daily between 10:00 a.m. – 6:00 p.m. with a permit

    •    Special Performance Permits will be limited to:

              o    One performance in the Plaza per day

              o    Up to one hour of performance time 

              o    One permit every seven days for each performer

    •    The sound level generated shall be inaudible at a distance of 100’ and may not disrupt local businesses.

    •    Performances are limited to the area directly underneath the Plaza gazebo.

    •    To view the policy document and submit your application online, kindly go to: healdsburg.gov/performancepermit

23. Performance Description *
25. Requested Date*
    Requested Date
27. Requested Time*
    -- Select One --10:00 - 11:00 AM11:00 AM - NoonNoon - 1:00 PM1:00 - 2:00 PM2:00 - 3:00 PM3:00 - 4:00 PM4:00 - 5:00 PM5:00 - 6:00 PMOther
28. If other, what time would you like to request?

    Requested time must be a 1-hour duration between 10:00 AM - 6:00 PM. 

30. Applicant agrees that they will be responsible for the use and care of city property. Applicant agrees to indemnify and save harmless the City of Healdsburg, its officers, agents and employees and against any and all loss, damage and/or liability that may be suffered or incurred by the City of Healdsburg, its officers, agents and employees, and against any and all claims, demands and causes of action that may be brought against the City of Healdsburg, its officers, agents and employees, caused by, arising out of or in anyway connected with the use by the undersigned of the City of Healdsburg facility or the exercise of the privilege herein granted, except that arising out of the sole negligence of the City. I hereby declare that I have read and understand and agree to abide by and to enforce the rules, regulations, and policies affecting the use of the facilities.*

    1. I agree
32. Applicant has read, understand, and will abide by the Special Performance Permit Policy for the Healdsburg Plaza*

    1. Yes
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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