Event Name *
Organization Name *
Contact Person *
Phone Number *
Cell Number Event Type & Description Event Description
Please tell us about your event.
Will you charge admission or a participation fee?
Please specify admission or participation fee Is the event open to the public? Are you a registered non-profit society? Your organizing committee is Event Location, Dates & Times
Requested Event Location
Please specify Event Duration
Requested Event Date(s)
Requested Setup Date & Times
Requested Tear Down Date & Times Attendance & Activity Detail
Number of Volunteers Please check all onsite activities Provide a description of activities and list any other activities not indicated above Heath, Safety & Permits Event Insurance
A minimum of $5 million Liability Insurance naming the City of Pitt Meadows and School District 42 is required for all events. Depending on your event activities and set up you may also be required to have your suppliers provide a certificate of insurance in the amount of $5 million naming the City of Pitt Meadows as an additional insured.
Will you use an electrical panel, or, require additional power at your event?
Depending on your power needs you may need to work with a registered electrician and may require an electrical permit from the BC Safety Authority
Will liquor be served at the event?
If yes, you will be asked to submit security, site and fencing plans, obtain written permission from the City of Pitt Meadows and, approval from the BC Liquor Control and Licensing Branch.
Will food be served at the event?
If yes, a permit may be required by the Fraser Health Authority.
Will propane or butane be used at the event? Will you have gaming (raffle) at the event?
If yes, a permit is required by the BC Gaming Authority.
How will you manage washroom needs at the event?
Event organizers are encouraged to provide adequate restrooms for event guests and not rely solely on the facilities of neighbouring venues. Please describe how you will plan for washroom use at the event.
Will you have any temporary large structures at the event that are over 1000 sq. ft. (i.e. tents, stages, etc.)?
You may be required to obtain a temporary building permit which will include engineering drawings for any structures over 1000 sq. ft.
Please specify types and sizes of temporary large structures and note approximate sizes (i.e. tents, stages, etc.) Will your event require a road closure? For example, parades, street parties, runs and rides.
If yes, road closure permits will be required.
Traffic & Parking Plain
Please describe your proposed traffic and parking plan.
How will you provide emergency response and first aid at the event? Will an external security company be used for your event?
Security Company Name
Dates and times of security onsite Waste Management How will you manage garbage, recycling and compostable materials at the event?
Event organizers are responsible for litter pick up, sorting of recyclables and removal of all waste created. Please provide details of your plan.
Applicant's Full Name
Your personal information is collected under the authority of section 26(c) of the Freedom of Information and Privacy of Protection Act (FOIPPA). This information will be used for City of Pitt Meadows special event notification purposes and will not be disclosed to the public except as may be requested by law. Questions about the collection of use of this information may be directed to the Corporate Administration department, City of Pitt Meadows, 12007 Harris Road, Pitt Meadows, BC V3Y 2B5. Phone 604.465.5454.