Event Organizer Application

Please upload your completed site plan.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Name of Event:

Event Start Date:

Is this a multi-day event?

Yes

No

Name of person completing the application:

Business Name:

Name of Business Owner (if different than above):

Mailing Address:

Contact phone:

Email:

Will you have tents?

Yes

No

Will you have trained medical staff on site?

Yes

No

Will you be seeking municipal significance for this event?

Yes

No

Will you have fireworks or pyrotechnics?

Yes

No

Name of designated Emergency Coordinator:

Contact number for Emergency Coordinator:

Name of alternate Emergency Coordinator:

Phone number:

Add Remove

Will you be conducting bag checks?

Yes

No

Are you utilizing any additional security entry methods?

Yes

No

Will there be licensed security personnel at your event?

Yes

No

Please provide the number of designated staff (volunteer or paid) that will be at your event:

IMPORTANT INFORMATION: Supervisory staff shall not include food vendors or others with specific duties or responsibilities that may or may not be identified in the Emergency Preparedness Plan which effects their ability to perform supervisory duties defined by the Plan.

I acknowledge that the insurance policy required by the City of St. Catharines adequately reflects the proposed use of the space and the maximum capacity listed above.

Yes

I acknowledge that the information provided accurately reflects the conditions of the proposed event and that I have read and agree to follow the Fire and Risk Reduction Requirements and Checklists.

Yes

I further agree that under the Ontario Fire Code I am deemed an "owner" and shall be responsible to ensure that the Emergency Preparedness Plan, and Fire Safety Plan if required shall be fully implemented and followed at all times.

Yes

Signature of:

Signature:

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Event Organizer Application