City of Regina | Park Application Form

Organization*

Applicant's Name*

Non-Profit Incorporation Number

Address*

Postal Code*

Residential Phone Number

Business Phone Number

Cell Phone Number*

Fax

Email Address*

Alternate Contact Information

Name

Address

Postal Code

Residential Phone Number

Business Phone Number

Cell Phone Number

Fax

Email Address

Event Information

Event Name*

Event Description*

Park Requested*

Expected Daily Attendance*

Event Set Up Date(s) and Time(s)*

Event Date(s) and Time(s)*

Event Take Down Date(s) and Time(s)*

Will you be serving food?*

Will you be serving alcohol?*

Will you be erecting any temporary structures?*

Additional Comments

Applicant Signature*

Today's Date*

All fields marked with an asterisk (*) are mandatory.