Please submit this application a minimum of eight (8) weeks before your event. Your application is received as a request. Once you submit your application, someone from the Recreation Department will contact you with further instructions. Contact Information Organization * Contact Person * Mailing Address * Phone Number * Email * Event Details Start Date & Time for each day * End Date & Time for each day * Location * Sicamous Beach Park Finlayson Park Finlayson Concession Sicamous Dog Park 200 Main Street Other If other, please specify Anticipated Attendance * Description of event and participating sponsors * Describe all planned entertainment * List the vendors attending the event * Event will include Temporary Structures (stages, tents) * Yes No Entertainment * Yes No Amplified Music/Speeches * Amplified sound in a public area requires a separate written request to Council to temporarily amend the District's Noise Bylaw. The request must specify the dates and hours of operation desired. Yes No Fireworks (permit required) * Yes No Alcoholic Beverages (liquor license required) * Yes No Food Preparation and Food Selling (Interior Health approval required) * Yes No Will you be arranging for Portable Toilets? * The District of Sicamous is not responsible for the arrangement or payment of portable toilets not owned by the District. Yes No Will you be staking anything in the ground? (e.g. tents, signs, fencing) * Site meeting must be arranged with Public Works BEFORE anything is staked into the ground. Yes No Do you require irrigation to be turned off? * Yes No If yes, specify timeframe Municipal Equipment Required See Part 11 of the Fees & Charges Bylaw for fee details. Select all that apply Stage Fencing ($1 per foot) Barricades Wash Car Orange Pylons Bleachers Please provide the following details for each piece of equipment requested Stage location Amount of fencing required (ft) Fencing location Amount of barricades required Attach map of barricade locations if required at multiple sites Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Wash Car location Applicant is responsible for cleaning, pumping, transportation arrangements and associated fees. Amount of orange pylons required Orange pylons location Bleachers location Will there be a parade? * Note: If a parade is planned, the applicant is required to contact the Operations Manager PRIOR to the event to discuss arrangements for traffic control in conjunction with the local RCMP detachment. Yes No If yes, please complete information below Number of units Types of units Assembly area Dispersal area Attach map of route Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Security Description of onsite security arrangements Required for large events & beer gardens. Special Requests Efforts will be made to accommodate special requests, however, such requests cannot be guaranteed. Supporting Documentation Upload a copy of all required documentation as a single document here or visit the District Office to submit your documents. If you need help determining which of the documents listed here must accompany your application, contact the Program & Events Manager at 250-836-2477 or recreation@sicamous.ca. Please combine all attachments into a single document prior to uploading. Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. Terms & Regulations The Licensee will: Be responsible for advising all attendees and will ensure that all attendees adhere strictly to all regulations posted and/or attached hereto; Provide a competent and trustworthy adult who will personally undertake to be responsible for the due observance of regulations governing the Premises; Exercise the greatest care in use of the facility and adjacent premises; Report all damage immediately to the District Office: 446 Main Street, P.O. Box 219, Sicamous, B.C. V0E 2V0 Telephone: 250-836-2477 Fax: 250-836-4314 or the Public Works Yard - Telephone: 250-836-4105 Fax: 250-836-2149; Be responsible for any damages incurred to municipal property and/or municipal equipment. Said damages to be paid firstly by the Licensee and/or their insurer; Use only the Premises named in this Agreement and within the authorized times; Not permit any other Group or Organization not named on this License to use said Premises without the authorization of the District of Sicamous; Be responsible for leaving the premises clean and returning equipment clean. Failure to do so may result in an additional fee (up to $5,000) levied for maintenance. A $200 deposit is required; Adhere to Grass Premises Closures. Information may be obtained by calling the Public Works Supervisor at 250-836-4105; Provide Securities in a form acceptable to the District where applicable; Not place objects in or on grass fields without first consulting with the Public Works Department; Advise the District of Sicamous office (250-836-2477) within seventy-two (72) hours prior to the scheduled event to cancel the license if sponsoring organization does not plan to use the facility; Not permit liquor, beer or wine on any Premises unless a Liquor License is in effect. A copy of said License shall be presented and attached to this agreement prior to use of said facility; Pay all fees levied according to this agreement including but not limited to, costs associated with any breach of this agreement; Ensure all Emergency Services have been notified, placed on standby, or arrangements have been made to have them on site if required, for any large events; Be responsible for the provision of additional temporary bathroom facilities for large events, where the existing Town facilities are inadequate to meet the demands of the event. Note: Failure to comply with the terms and regulations, and / or temporary amended Noise Bylaw requirements may result in cancellation of the permit without refund of any fees paid and where applicable, subject to penalties under Noise Bylaw No. 98. RCMP and Bylaw Officers can and will halt any special event if it is determined that any portion of the event is hazardous to any participant or the health, safety, and welfare of the public. Waiver & Indemnity Clause The Licensee accepts and will use the Premises at their own risk and agrees that neither the District of Sicamous hereinafter referred to as the “Municipality”, nor their respective officers, employees, servants, agents, heirs, successors and assigns have made any warranties or representations respecting the suitability or condition of the Premises. The Licensee further agrees that it will indemnify and save harmless the Municipality and their respective officers, employees, servants, agents, heirs, successors and assigns from and against any and all claims whatsoever, including all damages, liabilities, expenses, costs, including legal or other fees, incurred in respect of any such claim(s) or any action(s) or proceeding(s) brought thereon arising directly or indirectly from or in connection with the granting of this License and use of the Premises.Prior to the execution of the Facility Use Permit, the Licensee will obtain and maintain comprehensive general liability insurance including, without limitation, coverage for the indemnity provided herein, or terms satisfactory to the Municipality. The Municipality is to be included as named insured. Such policy will be written on a comprehensive basis with inclusive limits of not less than $2,000,000 per occurrence including $2,000,000 for bodily injury and/or death to any one or more persons including voluntary medical payments and property damage or such higher limits as the Municipality may require from time to time. The policy will contain a clause providing that the insurer will give the Municipality thirty (30) days prior written notice in the event of cancellation or material change wherever possible. The Licensee will provide the Municipality with evidence of such insurance coverage in the form of an executed copy of a Certificate of Insurance in a form satisfactory to the Municipality prior to the execution of said agreement.It is the sole responsibility of the Licensee to determine what additional insurance coverages, if any, including but not limited to Workers Compensation and Participants Insurance, is necessary and advisable for its own protection and/or to fulfill its obligations under this contract. Any such additional insurance shall be maintained and provided at the sole expense of the Licensee.The Licensee understands and agrees that this Permit may be revoked or cancelled at any time with or without cause. The Municipality will make every reasonable attempt to provide a minimum seventy-two (72) hours’ notice of a cancellation to the Licensee.The applicant warrants and represents that if he/she executes this Application on behalf of a Group or Organization that the Applicant has sufficient power, authority and capacity to bind the Group or Organization.The Licensee, in consideration of being granted permission to use the Premises agrees to be bound by the Terms and Regulations referred to above and if the Applicant represents a Group or Organization, the Applicant agrees to inform all responsible officials associated with the Group or Organization of the Terms and Regulations and Waiver and Indemnity Clause. Comprehensive Liability Insurance – Proof of Insurance The District of Sicamous will require a copy of the applicant’s Declaration. General Policy wording and Endorsements (additions/amendments to general policy) in any situation in which Proof of Comprehensive Liability Insurance (with minimums) is required. Please combine all attachments into a single document prior to uploading. Choose File No file chosen The maximum total size of all files in a single form submission is 1 GB. By submitting this form you declare that you have read the above, fully understand, and will comply with the Terms and Regulations, the Waiver and the Indemnity Clause. Privacy Personal information on this form is collected under the authority of the Freedom of Information & Protection of Privacy Act (the Act) for administrative purposes of the District of Sicamous. Personal information is protected from unauthorized use and disclosure in accordance with the Act and may only be used and disclosed as provided by the Act. Questions regarding the collection of personal information can be directed to the Administrator or FOI Coordinator, District of Sicamous, PO Box 219, 446 Main Street, Sicamous, BC V0E 2V0, dco@sicamous.ca, 250-836-2477. Leave Blank