Special Event Permit Application

Sponsor Organization

Name Required Invalid Name Used.

Street Address Required Invalid Name Used. Hint: 100 Regina Street South, Waterloo, ON N2J 4A8

Telephone Number Required Invalid Phone Number. Hint: (123) 456-7890

Fax Number Invalid Fax Number. Hint: (123) 456-7890

E-mail Address Required Invalid E-mail Address. Hint: firstname.initial@domain.com

Applicant

Name Required Invalid Name Used.

Position w/ Sponsor Organization Required Invalid Name Used.

Street Address Required Invalid Name Used. Hint: 100 Regina Street South, Waterloo, ON N2J 4A8

Telephone Number Required Invalid Phone Number. Hint: (123) 456-7890

Fax Number Invalid Fax Number. Hint: (123) 456-7890

E-mail Address Required Invalid E-mail Address. Hint: firstname.initial@domain.com

Supervisor

Name Required Invalid Name Used.

Position w/ Sponsor Organization Required Invalid Name Used.

Street Address Required Invalid Name Used. Hint: 100 Regina Street South, Waterloo, ON N2J 4A8

Phone Number before the event Required Invalid Phone Number. Hint: (123) 456-7890

Phone Number during the event Required Invalid Phone Number. Hint: (123) 456-7890

Fax Number Invalid Fax Number. Hint: (123) 456-7890

E-mail Address Required Invalid E-mail Address. Hint: firstname.initial@domain.com

Event Details (1)

Name Required Invalid Name Used.

Type of Event Required

Purpose of Event Required

Is this a community-sponsored, non-profit event?

Will the event include the consumption of alcohol on a Regional road?

Will the event include the solicitation of donations from the driver or any other person in a motor vehicle?

Day(s) of the week and date(s) of event:

From Required Not a valid date! Must be future date

To Required Not a valid date! Must be future date

From date must be earlier than To date.

Day(s) of the week and date(s) that the event was last held:

From Not a valid date! Must be past date

To Not a valid date! Must be past date

From date must be earlier than To date.

Event Details (2)

For each date of the event:

Time that set-up or assembly will commence Required Not a valid time

Time that event will commence Required Not a valid time

Time that event will finish including clean-up Required Not a valid time

Number of participants:

Individuals Required Not a valid number

Bands Required Not a valid number

Horses Required Not a valid number

Bicycles Required Not a valid number

Cars Required Not a valid number

Floats Required Not a valid number

Other

Assembly area

Disassembly area

Traffic Control

Roads to be used

Parking prohibitions

Road or lane closures

Attachements

Summary

Sponsor Organization

Name:{{sea.SponsorName}}

Street Address:{{sea.SponsorStreet}}

Telephone Number:{{sea.SponsorPhone}}

Fax Number:{{sea.SponsorFax}}

E-mail Address:{{sea.SponsorEmail}}

Applicant

Name:{{sea.ApplicantName}}

Position w/ Sponsor Organization:{{sea.ApplicantPosition}}

Street Address:{{sea.ApplicantStreet}}

Telephone Number:{{sea.ApplicantPhone}}

Fax Number:{{sea.ApplicantFax}}

E-mail Address:{{sea.ApplicantEmail}}

Supervisor

Name:{{sea.SupervisorName}}

Position w/ Sponsor Organization:{{sea.SupervisorPosition}}

Street Address:{{sea.SupervisorStreet}}

Phone Number before the event:{{sea.SupervisorPhoneBeforeEvent}}

Phone Number during the event:{{sea.SupervisorPhoneDuringEvent}}

Fax Number:{{sea.SupervisorFax}}

E-mail Address:{{sea.SupervisorEmail}}

Event Details

Name:{{seaText.EventName}}

Type of Event:{{seaText.EventType}}

Purpose of Event:{{seaText.EventPurpose}}

Is this a community-sponsored, non-profit event?{{seaText.NonProfit}}

Will the event include the consumption of alcohol on a Regional road?{{seaText.AlcoholConsumption}}

Will the event include the solicitation of donations from the driver or any other person in a motor vehicle?{{seaText.DonationSolicitation}}

Day(s) of the week and date(s) of event:

From:{{seaText.From}}

To:{{seaText.To}}

Day(s) of the week and date(s) that the event was last held:

From:{{seaText.PreviousFrom}}

To:{{seaText.PreviousTo}}

For each date of the event:

Time that set-up or assembly will commence:{{sea.SetupTime}}

Time that event will commence:{{sea.StartTime}}

Time that event will finish including clean-up:{{sea.EndTime}}

Number of participants:

Individuals:{{sea.Individuals}}

Bands:{{sea.Bands}}

Horses:{{sea.Horses}}

Bicycles:{{sea.Bicycles}}

Cars:{{sea.Cars}}

Floats:{{sea.Floats}}

Other:{{sea.OtherParticipants}}

Assembly area:{{sea.AssemblyArea}}

Disassembly area:{{sea.DisassemblyArea}}

Traffic Control

Roads to be used

Road to be used	Road authority (Municipality)
{{ru.RoadToBeUsed}}	{{ru.Municipality}}

Parking prohibitions

Road	Side	From	To
{{pp.Road}}	{{pp.Side}}	{{pp.From}}	{{pp.To}}

Road Closures

Road	Side	From	To
{{rc.Road}}	{{rc.Side}}	{{rc.From}}	{{rc.To}}

Attachements

This Permit is conditional upon the applicant signing below and agreeing to the conditions listed on pages 1, 2 and 3 of this Permit. The Regional Municipality of Waterloo confirms that electronic signature of the document is acceptable provided that the applicant is spedifically authorized by the sponsoring organization to enter into and execute this document in such manner.

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