Neighbourhood Block Party Parks and Leisure 506.853.3516 email@example.com Program guidelines Application Form Name of playground or park location (must be city developed park land) Organizer name Complete Mailing Address Mailing address City/Town Postal Code Day Telephone Mobile Email Name of Secondary Organizer Complete Mailing Address Mailing address City/Town Postal Code Telephone number Mobile number List other members of your group (if applicable) Is this event organized by a business? Yes No Does your group promote products or services? Yes No If yes to one or both previous two questions, please explain Date of event: (MUST take place between Victoria Day and Labour Day) Rain date: (MUST take place between Victoria Day and Labour Day) Time of set-up Start time End time Time when teardown will be done Materials Requested How many garbage cans? (maximum 5) How many picnic tables? (maximum 5) Number of participants expected List Activities Planned Check if applicable Amplified music Amplified music Temporary structures (eg. tents) Temporary structures (eg. tents) Personal BBQ Personal BBQ Other Other Other Please provide any additional information you feel may be necessary Before submitting On behalf of the applicant, I/we acknowledge that I/we have read and understand the conditions in the Application Guidelines and agree to comply with them.