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Personal Service Settings Special Event Application Form

The personal information on this special event application form is collected under the authority of the Health Protection and Promotion Act and will be used for the administration of Public Health programs. Any questions about the collection of this information should be directed to the Manager of Environmental Health, KFL&A Public Health, 221 Portsmouth Avenue, Kingston, Ontario, K7M 1V5, 613-549-1232 or 1-800 -267-7875,ext. 1243. 

Completed form to be submitted to KFL&A Public Health ten (10) business days before the event.

Event information

Vendor information 

Service provider information 

Multi-use equipment must be:

• covered with single-use, disposable covers as permitted, or
• cleaned and disinfected or sterilized as appropriate at an approved premises, and used as single-use equipment during the event.    

Cleaning and disinfecting