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Outdoor Sport Facility Request Form
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Steps
1.
Step One
(current)
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2.
Contact Information
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3.
Tournament or Sport Activity Information
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4.
Requested Dates, Times, & Locations
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5.
Attendance & Tournament Details
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6.
Risk Management
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7.
Equipment & Waste Management
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8.
Collection & Use of Personal Information
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Step One
Please complete all required fields (marked with an asterisk) before submitting the form. If the submission is not sent, please review your submission and complete the missing fields. You will receive a confirmation once you have successfully submitted the form.
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Contact Information
Event Name
*
Organization Name
*
Contact Person
*
Address
*
City
*
Postal Code
*
Primary Phone
*
Cell Phone
*
Email
*
Organization or Event Website
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Tournament or Sport Activity Information
Is your tournament or sport activity new or returning?
New
Returning
Was this event held in Coquitlam in previous years?
Yes
No
If "Yes", what year?
Type of Tournament
-- Select One --
Private / Community Event
Sport / Tournament Event
Other
If "Other", please specify:
Participants are:
Adult
Youth
Both
Number of Participants
Number of Teams
Number of Coquitlam Residents
Number of Females
Number of Males
Description of Tournament / Sport Activity
Is this event open to the public?
Yes
No
Will you charge admission or participant fee?
Yes
No
If "Yes", please specify:
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Requested Dates, Times, & Locations
Season of Event
*
Fall / Winter
Spring / Summer
Tournament Length
1 day
2 day
Other
If "Other", please specify:
Requested Dates & Times
*
Requested Dates & Times Start Date
Requested Dates & Times Start Time
—
Requested Dates & Times End Date
Requested Dates & Times End Time
Requested Set-Up Date & Time
*
Requested Set-Up Date & Time
Requested Set-Up Date & Time
Requested Take Down or Strike Date & Time
*
Requested Take Down or Strike Date & Time
Requested Take Down or Strike Date & Time
Requested Field or Space Location
Town Centre Park Site Map (PDF)
Provide the following information regarding your field / space request. When indicating Town Centre Park, please refer to the site map.
Request 1
Requested Field / Space
Requested Date & Time
Requested Date & Time
Requested Date & Time
Request 2
Requested Field / Space
Requested Date & Time
Requested Date & Time
Requested Date & Time
Request 3
Requested Field / Space
Requested Date & Time
Requested Date & Time
Requested Date & Time
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Attendance & Tournament Details
Expected Attendance
Please include players, coaches, parents and guardians.
Number of Volunteers
Please check all on site activities:
Amplified Sound
Extreme Sports
Food Service or Food Vendors
Inflatables
Lighting
Live Entertainment
Merchandise Sales
Sports or games such as running, races or relays
Staging
Temporary Structures (tents)
Vendor Displays
Please provide a description of activities and list any other activities not indicated above:
Provide as must detail as possible.
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Risk Management
Event Insurance
A minimum of $2 million liability insurance naming the City of Coquitlam as an additional insured is required. Events with liquor licence applications must provide $5 million liability insurance. You may also be required to have your suppliers provide a certificate of insurance in the of $2 million liability naming the event and the City of Coquitlam. Suppliers such as electrical services, staging, tenting, lighting/sound, heavy equipment rentals and high risk activities like climbing walls and sporting demos may require insurance.
Permits
Written permission from Parks, Recreation and Culture is required before any permits can be issued. An electrical permit may be required from BC Safety Authority.
Will liquor be served?
*
Yes
No
Written permission from Parks, Recreation and Culture is required before any permits can be issued.
Will food be served?
*
Yes
No
If yes, a permit may be required by Fraser Health Authority.
Will you be constructing any structures over 1,200 square feet? (e.g. tents, stages, etc.)
*
Yes
No
Please specify types and sizes of temporary large structures and provide approximate sizes.
What is your first aid plan?
Certified first aid attendant onsite
Paramedics on bikes
St. Johns Ambulance
Will an external security company be used for your tournament or sport activity?
Yes
No
If yes, provide the security company name.
Please provide dates and times when security will be on site.
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Equipment & Waste Management
Indicate which equipment you will need for your tournament or sport activity. Please note, the City has a small amount of event equipment available. The equipment is not guaranteed and is based on availability; delivery charges may apply.
Waste & Garbage Removal
*
Garbage Bags
Plastic Event Garbage Cans
Organizers are responsible for litter pick up, sorting of recyclables and removal of all waste created. Please provide details of your plan:
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Collection & Use of Personal Information
Consent
By checking "I consent" you are consenting to the voluntarily collection and use of your personal information in accordance with Section 26(d) of the Freedom of Information and Protection of Privacy Act. The information provided by you will be used solely for the purpose of requesting a school garden tour and communicating with you about the School Tour Program. Your information will not be used for any other purpose. If you have any questions about the collection, storage, correction and/or use of your personal information please contact the City of Coquitlam Parks, Recreation and Culture at 604-927-6306 or fieldrequest@coquitlam.ca.
I consent
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Email address
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