Required fields are marked with asterisks (*)

Special Event Request Application

The intent of this form is for potential events held on or in a Town of Essex property (i.e. town park, town facility, town roads - for closures etc.).

If your event is not on Town Property and on a private property or in another business venue, this form may not be for you.

Please contact the Assistant Manager, Tim Stanley prior to completing the form at: tstanley@essex.ca or 519-776-7336 x 1304 to discuss.

Contact Information

Thank you for looking to the Town of Essex for your special event needs. To better help you with your event, we have a series of questions that will help us give you the information you need. Please complete the below information and a Town of Essex representative will respond to you shortly.

Group, Business or Organization Name (if applicable)

Name of Main Contact within the Group, Business or Organization

What is the Contact Person's Position (i.e. President, Ice Convener, Owner etc.)

Website (if available)

Mailing Address

Town/City

Province/State

Postal Code/Zip Code

Best Phone Number to Contact Organizer at?

Organizer's Email Address

Do you give permission to release your contact information to the public?

Yes

Event Information

These questions will provide more details about the actual event that you are looking to have.

Have you hosted this event in the Town of Essex before?

Yes

Is this an event you will be hosting inside one of our arenas on an ice rink?

Yes

Fill in any relevant information you think we should know or anything that has changed or added since your last event.