City of Moncton Event Application Form

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1 City of Moncton Event Application Form IMPORTANT: Applications must be submitted at least 90 days before the event to allow for processing and approval by Moncton City Council. If you are applying for: - Event Support Services: please complete sections 1, 2, 3, 5 and 6 of application form - Funding Support: please complete sections 1, 2, 4 and 6 of application form - Both Event Support Services and Funding: please complete all sections of application form SECTION 1: Basic Event Information Event Title: Type of event: Location(s) of event: Dates and times of event: Start Date: End Date: Set-up time: Start time: End time: Dismantle: Projected attendance (#): Volunteers (#):

2 2 SECTION 2: Request for support This section allows you to outline details of your event and specify the type of support you are requesting from MLED. Please include the following information: a. Tentative program of the event: b. Registration, admission, or other participation fees: c. The benefit your event has for the community: d. A list of event staff, volunteers, committee members or board of directors: e. Proposed recognition of City of Moncton and MLED support: f. Your specific request for funding (amount) or equipment and services (a list of what you are requesting): g. Any other information important to your event application:

3 3 SECTION 3: Event Plan This section allows you to provide more details on your event. a. Please include a detailed Site Plan with this application. b. Please list the Vendors that will take part in your event: c. Please include a copy of Public Health Permits for the food vendors that will be on site during your event with this application. d. Please include a detailed Event Route if your event is a parade, marathon, duathlon, walk or run. e. For parades, please include the Line-up with a list of floats and vehicles with this application. f. Are you requesting a Street Closure? Yes No If yes, describe your street closure request, including the section of street for which the closure is requested, as well as the date(s) and time(s) of closure: g. Please list any tents, inflatables or temporary structures (including quantity, size, ownership, location and type of anchorage proposed): h. Please include any other pertinent information that may assist with the evaluation of your request:

4 4 SECTION 4: Financial Information Please include the following items with your application: a. Detailed Event Budget (you may refer to the Event Budget Template in the Event Policy) b. Financial Statements for your event from the previous year c. Corporate Financial Statements, if applicable (including balance sheet, income statement, description of corporate structure and ownership, including letters patent and by-laws) d. List of confirmed sponsors and amounts e. List of targeted sponsors f. Business Plan, if applicable g. Marketing Plan, if applicable SECTION 5: Safety Plan This section allows you to provide information on how you will manage safety requirements for your event. a. Have you hired a professional security company? Yes No Name of Company: Phone Number: Contact Name: Number of guards hired: b. Have you requested RCMP assistance? Yes No c. Will you have medical services (i.e. St John Ambulance) on site? Yes No d. Will alcohol be served at the event? Yes No If yes, have you applied for your liquor license? Yes No e. Please provide a proof of event insurance, based on the following terms: Event organizers must carry no less than $2million in general liability coverage for the event and designate the City of Moncton as additional insured with respect to the event. Proof of insurance is only required after the event is approved.

5 5 SECTION 6: Contact Information Name of organization: Mailing address: Primary Contact _ Primary telephone: Cell: Secondary Contact _ Primary telephone: Cell: SIGNATURE I have read and understand the Event Policy available on the City of Moncton website prior to completing my application. Signature: Date:

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