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Special Events Application

Please be advised that applicants requesting permission to hold any community, or special event in the Township of West Lincoln must submit the application below, 6 weeks prior to the proposed event, for Township approval.

Applicant Organization:

Contact Person:

Email:

Phone Number:

Fax Number:

Mailing Address:

City:

Postal Code:

Event Information

Date of Event:

Name of Event:

Event Description:

Event Location:

Event Start and Finish Times:

Has event occurred before?

Yes

Approximate Number of Participants:

Approximate Number of Spectators:

Number of Vehicles by Type (Ex. Cars, Pick-up Trucks, Commercial Vehicles)

Please provide the contact information of your on-site liaison person below. This person must have the authority to shut down the event in case of emergency or contravention of the permit conditions, and must have a copy of the approval with them, during the event.

On-Site Liaison Person:

On-Site Contact Number (Ex. Pager # or Cellular Phone #):

Outline your plans for notifying businesses and/or residents who may be affected by this special event, and for what period?

Are any of the following proposed for the event? Please select any applicable option(s) below.

Alcohol

Food/Vending

Entertainment

Other relevant details:

What Township resources do you require (excluding those to be mentioned in your safety plan) in order to hold the event?

Safety Plan and Certificate of Insurance

Please upload a copy of the safety plan and certificate of insurance.

Upload:

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Special Events Application

Event Information

Safety Plan and Certificate of Insurance