Special Events Permit

Applicant or Organization

$25.00 Fee Payable to the Town of Erin must accompany application.

Name *

Contact *

Address *

City/Town *

Province *

Postal Code *

Phone Number *

Email *

Date of Event *

Time *

Name of Event *

Type of Event *

ie: toll booth, bike trek, parade, etc.

Location of Event *

Temporary Road Closure Required *

Yes

No

Road Closure Location *

Detour Details *

Please include a map detailing the location/route and the duration of the event *

For Road Closure - Detour details & Road Closure location required. Notify: *

Police

Fire

Ambulance

County of Wellingtion

A Certificate of Liability Insurance in the amount of $5,000,000.00 naming the Town of Erin as additionally named insured. Proof from the Town of Erin Fire & Emergency Services, Ambulance and OPP acknowledging knowledge of the event must be attached, acceptable to the Road Superintendent.

I accept full responsibility for any costs, suits, actions or damages that may arise or be taken against the Corporation of the Town of Erin by reasons of or in connection with this event. *

I accept full responsibility for traffic control, crowd control, barricades, safety precautions, and clean up associated with this event. The event must be advertised in advance to notify residents, businesses, and institutions of possible disruption due to the event *