Special Event Notification/Permit Form:
A. EVENT ORGANIZER INFORMATION
Contact Name:
Organization:
Contact Person:
Position:
Phone:
Email:
Website:
Organization Address :
B. EVENT INFORMATION
Event Name:
Event Date:
Start Time:
End Time:
Event Venue:
Type of Event:
Check All That Apply:
Concert/Party
Procession / Wedding
Competition
Run/Walk/Marathon
Demonstration
Cycling Road
Fair
Cycling Off Road
Festival
On Water
Parade
Film /Exhibition/ Show
Alcohol
Staging
Amusement Rides
Tents
Live Animals
Road Closure
Bleachers/Tiered Seating
Fireworks
Food Vending/Sampling
Use of Public Lands/Roads
Amplified Sound
Overnight Camping
Open Air Burning
Motorized Off Road Vehicles
Description of Event:
(include set and tear down timeframe)
Total Attendance:
Participants:
Spectators:
Event Details:
1.
Is the event being held on public land or property? Yes No
2.
Do you require any Road Closure/Traffic Management Provisions? Yes No
3.
Is the event open to the public? Yes No
4.
Is alcohol being served? Yes No
5.
Requires a Building Permit for tents, stages or other structure? Yes No
6.
Does the event present an elevated risk to public and/or participants safety requiring specific risk
management controls? Yes
No
7.
Does the event have any potential negative impacts on the community? Yes No
8.
Will the event be displaying any fireworks or pyrotechnics? Yes No
9.
Will overnight camping be made available? Yes No
10.
Will there be music live entertainment or amplified sound? Yes No
11.
Will food be sold? Yes No
NOTE:
Upon review of Part 1 the Director or designate will determine the need for submission of Part 2. If this is a large
scale event please submit Part 2 and a corresponding operations plan.
Please contact the Director of Rec. Com. Services should you require any direction on completing Part 2
If you have answered YES to any of the questions in the “Event Details” please submit Event Application Part 1 AND Part
2 to the Director of Recreation and Community Services.
Please retain a copy of this application for your records.
I certify that the information I have provided above is true and correct.
Full Name:
Position:
Submission date:
The personal information on this form is collected under the authority of the Municipal Act, as amended. The information issued to process this
application. Questions regarding the collection of this information should be directed to the Township of Oro Medont