Required fields are marked with asterisks (*)

Special Event Request Application

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.

What is the name of event or function you plan on hosting?

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

Yes

Are you planning to use a Town Owned Facility or at/on a Private Property?

Town Owned Facility

Privately Owned Facility

ONLY USE IF YOUR EVENT IS IN or ON MULTIPLE FACILITIES THE TOWN OWNS: Secondary location: List of Town of Essex Facilities ONLY (Select Not Applicable if on Private Property)

ONLY USE IF YOUR EVENT IS IN or ON MULTIPLE FACILITIES THE TOWN OWNS: Third location: List of Town of Essex Facilities ONLY (Select Not Applicable if on Private Property)

START Date - Month

START Date - DAY

START Date - Year

Start Time:

END Date - Month

END Date - Day

END Date - Year

End Time:

Is there a Rain Date? (only if applicable)

Not Applicable

Yes

What is the type or classification of Event? (i.e. Tournament, Festival etc.)

Form Builder

Special Event Request Application

Contact Information

Event Information