Photo/Film/Video Permit Form

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Per City of Kansas City, Missouri Ordinance 50-163, business cannot be conducted on Park or City property without a permit from the appropriate Board.

If you are requesting a permit for a photo shoot in Shoal Creek Living History Museum in Hodge Park, please complete the form on their web page.

Please complete this form. Following review/approval by KC Parks staff, a permit fee will be determined and the permit issued upon receipt of payment. A minimum of five (5) business days is required to process a photo/film/video shoot permit request.

PHOTO/FILM/VIDEO PERMIT REQUEST

Park/Facility Requested

Specific Location

Shoot Date

Backup Shoot Day and Date (if applicable)

Time of Set-up

Time of Shoot

Length of Shoot (number of hours)

Time of Break-down

Number of Participants Involved in Shoot

Purpose/Description of Shoot

Equipment To Be Used

Applicant Information

Applicant Full Name

Company/Agency/Sponsor

Address

City

State/Province

Zip/Postal

Country

Contact Person Full Name

Contact Phone #

Contact Cell Phone #

Contact Fax #

Contact Email

Kansas City, Missouri Parks and Recreation.

Check or money order contributions shall be made payable to Kansas City, Missouri Parks and Recreation. Please mail payment to: Kansas City, Missouri Parks and Recreation-Marketing and Permits Division, 4600 East 63rd Street Kansas City, Missouri 64130. Payment must be received prior to shoot.

Recognize the City of Kansas City, Missouri Parks and Recreation as a credit in the finished product (if applicable).

Your shoot may require insurance; commercial general liability with limits of $1 million per occurrence and $2 million aggregate, written on an “occurrence” basis, listing the City of Kansas City, Missouri as the additional insured. Need for insurance is determined on a case-by-case basis. A rider will need to be provided prior to issuance of a permit if it is determined insurance is needed.

Insurance Company

Insurance Policy #