County of Brant Picnic and Park Request

Name (First and Last)

Organization/Department

Address (Street address, P.O. Box, R.R. #, Apt/Suite)

City

Postal Code

Phone Number (s)

Email

Please provide date of event/function

Start time of event/function:

End time of event/function

Type of Event/Function

Expected Attendance

Do you require hydro?

Yes

No

Will inflatable devices (bouncy castles) or tents be at your event? (approval from manager/supervisor and additional documentation will be required)

Yes

No

Will your event be open to the public

Yes

No

Will you be serving alcohol?

Yes

No

Does your group have any accessiblity requirements? (If yes please provide further details below)

Yes

No

Will you be selling or cooking food?

Yes

No

Will you have live animals?

Yes

No

Are you fundraising or soliciting donations?

Yes

No

Will your event involve amplified sound?

Yes

No

Are you attending a drop in session (eg. Public Swim)

Yes

No

Please provide any additional information about your event/function. Also please provide additional details for any questions that were answered yes. Approval from manager/supervisor and additional documentation may be required.

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County of Brant Picnic and Park Request