Special Event Organizer Application

Please complete and return to KFL&A Public Health at least 14 days before the start date of event.
This application is for events with less than 15 vendors. If your event has more than 15 vendors or you are unable to complete this form, please contact KFL&A Public Health at 613-549-1232

Event information

Name of the event

Date(s) of the event - applications must be submitted at least 14 days before the event to be accepted.

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Time of the event

Set-up date

Set-up time

Preferred inspection date

Preferred time of inspection

Location or address of event

Municipality or Township (e.g., Kingston, Napanee, South Frontenac)

Organizer (coordinator) information

Group sponsoring the event

Event organizer

Phone number

E-mail address

If the event organizer will NOT be available on site at the event, please provide the name and contact information of the representative who will be on site.

who will be attending the event

Expected number of attendees

Organizer responsibilities

Are you supplying the potable water (e.g., municipal water supply or water haulers)

Yes

No

Are you supplying the electricity

Yes

No

Are you providing a hand wash basin for each vendor

Yes

No

Are you providing dishwashing sinks for each vendor

Yes

No

Will food vendors have access to an on-site kitchen for food prep and dishwashing

Yes

No

Are you providing wastewater collection and removal from site

Yes

No

Are you providing garbage collection and removal from site

Yes

No

Total number of public toilets available

Total number of public handwashing sinks available

Form Builder

Special Event Organizer Application

Event information

Organizer (coordinator) information

Organizer responsibilities