Special Event 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

Attachments

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}}

Attachments

By clicking “Submit,” I confirm that I understand that this form is an application only and not a valid permit, and if approved, that I will be contacted to review and sign the final permit before it becomes active.