Toll Road Fundraisers

Please use the form below to apply for a Toll Road Fundraiser. Toll roads are set up for the purpose of raising funds for local service clubs, nonprofit organizations, or charitable purposes. Due to scheduling other toll road requests, the City prefers 3-4 weeks' notice if possible. If you have any questions, please contact Adel City Hall at (515) 993-4525 or City Clerk Carrie Erickson at cerickson@adeliowa.org

Entities Allowed To Use Toll Road Fundraisers*
- Local Service Club
- Nonprofit Organization
- Charitable Purpose
Local service clubs, nonprofit organizations, or charitable purposes are defined as those organizations that meet in the Adel-De Soto-Minburn School District (ADM) and/or whose members are ADM residents, or who raise money to support programs that benefit the citizens of Adel and the surrounding area. Local service clubs must be established and operate with a board and bylaws. Nonprofit organizations must regularly meet in the City of Adel or the ADM community. Please indicate which entity or purpose you are registering:
Name of Organization:*

Please enter the name of the organization.
Contact Name:*

Please enter the name of the primary contact for this request.
Contact Phone:*

Please enter the phone number of the primary contact for this request.
Contact Email:*

Please enter the email address of the primary contact for this request.
Proposed Date(s) of Toll Road Fundraiser:*

Please enter the proposed date(s) of the Toll Road Fundraiser. Dates may be reserved on a first come, first served basis. The City generally attempts to avoid scheduling fundraisers on back-to-back weekends.
Proposed Time(s) of Toll Road Fundraiser:*

Please enter the proposed time(s) of the Toll Road Fundraiser. Hours shall be between 6:00 a.m. and 6:00 p.m.
Purpose of Toll Road Fundraiser:*
Please describe the purpose of holding this Toll Road Fundraiser.
Upload Organization's Insurance Certificate:*
Accepted file types: pdf, docx, jpg, png, Max. file size: 50 MB.
Please upload a valid insurance certificate indicating the insured and listing the City of Adel as an additional insured. The insurance must contain liability coverage with a minimum amount of $1 million per occurrence and holding the City of Adel harmless for any damage or injuries caused as a part of the Toll Road Fundraiser. There must be adult supervision at all times. No child under the age of 14 is permitted in the street. All volunteer participants must wear outer clothing that is bright and/or made of reflective material. All volunteers must wear or carry information identifying them as a volunteer of the sponsoring organization. When interacting with vehicles, drivers or passengers must be provided with some type of material, brochure, or another suitable item to serve as recognition that the vehicle has been stopped once already.
Submit:*
- I have reviewed the requirements in this form.
The City Clerk and the City Administrator will review this request and decide based on the criteria above. If your request is denied, you may appeal to the Adel City Council at the council's next regular meeting.