Event Name: * Event Date: Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Event Location: * Venue Type: Public Park Street Festival Community Centre Other Other: Event Duration: 1 day 2-3 days 4-7 days Total Attendance: Under 800 Over 800 Annual Event? Yes No Organizer/Contact Information Organizer/Contact Person: Address: City/Town: Postal Code: Home Phone: Business Phone: Cellphone: Website: Responsibilities of Organizer Water Supply Potable water supplied to vendors? Yes No (If yes, complete next question on the water source) Water Source: Municipal Other Regulated Source Bottled Water Private Well Water Truck Other (Specify Below) Ice Supplied to Vendors? Yes No If yes, source of water used to make ice: Source of Water Used to Make Ice: Hydro Electricity Available? Yes No Back-up Power Available? Yes No Sanitary Facilities Portable Toilets Yes No If yes, sewage hauler: Sewage Hauler: Portable Hand Wash Basins? Yes No Permanent Hand Wash Basins? Yes No Sanitizer? Yes No If yes, specify type: Type: Soap and Paper Towels? Yes No Garbage Garbage Cans/Containers Available? Yes No Vendor Information Personal Service Setting Booth (piercing, tattoo, manicure, etc)? Yes No If yes, vendor(s) name and phone numbers: Will any Vendors have a petting zoo or animal exhibit? Yes No If yes, vendor(s) name and phone numbers: Vendor(s) Name/Phone Number: Total Number of Vendors Participating: Vendor Registration List
