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Block Party Application

Contact Information

Alternate Contact Information

Party Information

Agreement and Signature


By submitting this application, I affirm that the facts set forth in it are true and complete.
I shall abide by all Town of Arnprior By-laws and all applicable Federal and Provincial
legislation and regulations. I understand that if the block party is approved, any false
statements, omissions, or other misrepresentations made by me on this application may
result in cancellation of the block party.


As the applicant acting in the capacity of the organizer of the Block Party, if granted
approval for the Block Party by the Corporation of the Town of Arnprior:


I hereby release, indemnify and save harmless the Corporation of the Town of Arnprior
its elected officials, officers, employees and from and against any and all claims of any
nature, actions, causes of action, losses, expenses, fines, costs (including legal costs),
interest or damages of every nature and kind whatsoever, including but not limited to
bodily injury, sickness, disease or death or to damage to or destruction of tangible
property including loss of revenue or incurred expense resulting from disruption of
service, arising out of or allegedly attributable to the negligence, acts, errors, omissions,
misfeasance, nonfeasance, fraud or willful misconduct of participants at the Block Party
in connection with or in any way related to the Block Party.

Clear

The Clerk's office will review your application for Block Party, and if approved you will be
required to submit a neighbourhood consent form prior to hosting the event. This consent
form will be sent to you by staff to fill out, following approval.


Notice of Collection
Personal information contained on this form is collected under the authority of the
Municipal Act, 2001, S.O. 2001, c. 25 and will be used for the purposes of administering
your request for, and use of, your temporary street closure for a block party or other
similar event. Questions about this collection should be directed to the Town Clerk at
105 Elgin Street West, Arnprior, ON K7S OAS 613-623-4231 ext. 1818 or by email at
clerks@arnprior.ca.