Facility Rental Application

FOR EVENTS IN CITY PARKS & FACILITIES

Submission of this application constitutes a request to use a City of Nanaimo park or facility but is not a guarantee of event confirmation. Approval of this event will be conditional on the approval of any other regulatory bodies required (e.g. liquor licensing, business licensing, food service licensing), and on the receipt of all supporting documents (e.g. site/route maps, insurance). Fees will be calculated on approval. To enable prompt review PLEASE ANSWER ALL QUESTIONS.

Contact info

Event Contact Name [will be listed as Licensee on rental agreement]

Organization Name [If applicable]

Choose one of the following this booking is for:

Registered Non-Profit Society #

Business Licence #:

Mailing Address

City

Postal Code

Telephone (cell)

Telephone (home)

Email Address

Event Details

EVENT DATE

Event Name

Event Category

Event Schedule

Set Up Start [arriving to set up]

Event Proper Start

Event Proper End

Event Take Down End [cleaned up and gone by]

Desired Facility to Reserve

Specific Location Requesting

Will any temporary structures be set up (tents, stages, bouncy castles, etc.)?

Type of temporary structure being set up:

Stage

Tent

Bouncy Castle

Other...

# of people attending

Having Food?

Yes

Having Alcohol?

Yes

If you are planning to have a Food Truck attend please note in comments
All food vendors must have valid Island Health certification
A Special Occasions License will be required for sales or service of alcohol
A City of Nanaimo issued Business Licence is required for food vendors

Playing Music?

Yes

Method

Having Dancing?

Yes

Genre

Additional Info

Utilities or Services Requested

Comments/additional information you would like to share with Staff

Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA) and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.

Last updated: November 15, 2024

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