Required fields are marked with asterisks (*)

Special Event Application Form

This form provides all the information related to the event you wish to hold. By filling it out, all the municipal departments will be informed of your event. If authorized, you will receive a response with comments and recommendations regarding your event.
Applications received 90 days prior to the event will be processed. We cannot guarantee that late requests will be processed. If you have any questions or problems using this form, please contact us at info@champlain.ca or 613 678-3003 ext. 234.

General Information

Event Name

Name of Event Organizer

Address

Town/City

Postal Code

Email Address

Phone Number

Legal Status

Non-Profit Organization

Business

Individual

Other

Name of Contact Person

Phone number

Event Information

Description of the Event

Setup Start Date

Setup Start Time

Event Start Date

Event Start Time

Event End Date

Event End Time

Teardown Date

Teardown End Time

Details as to the Duration and Dates of the Event

Location(s)

Should the Weather Be Unsuitable, the Event Will Be

Held

Cancelled

Rescheduled

Relocated

Is Your Event to Be Held on Municipal Property/Parks/Facilities?

Yes

Number of Expected Attendees:

Target Group(s)

Children

Teenagers

Adults

Seniors

Families

Other

Is Your Event Free?

Yes

Will You Be Donating Funds to a Third Party Organization?

Yes

Form Builder

Special Event Application Form

General Information

Event Information