Special Event Permit Application

Special Event Permit Application

Application for Events on Public and Private Property – Township of South-West Oxford
Date of Application*

MonthDayYear
Date
Contact Information
Name of Special Event Host (A person, organization, or entity that holds a Special Event)*
Is the Host also the Organizer?*
Will the event be held at the same location as the Host’s Address?*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address*
example@example.com
Special Event Information
Name of Event*
Start Date of Event*

MonthDayYear
Date
End Date of Event*

MonthDayYear
Date
Week Day Times
Daily Start Time (Weekdays)*

Hour Minutes

AM/PM Option
Daily End Time (Weekdays)*

Hour Minutes

AM/PM Option
Weekend Times
Daily Start Time (Weekends)*

Hour Minutes

AM/PM Option
Daily End Time (Weekends)*

Hour Minutes

AM/PM Option
Address of Event
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Description of Event*
Expected Attendance Number*
Special Event Location Type*
Is this a community-sponsored, non-profit, or religious event?*
Municipal Permit and Supporting Document Requirements

Details regarding municipal permits and required supporting documents are provided below. If you answer Yes to any of the questions below, please ensure that all necessary permits are obtained separately from this process and that all relevant supporting documents are attached. If a section does not apply to your event, please indicate No and proceed to the next question.
Venue Plan (Upload a diagram or sketch detailing the proposed layout of the special event)*

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Proof of general liability insurance with the limits of not less than three million dollars ($3,000,000) for events that include food vendors, alcohol, fireworks, or games/sports that present an elevated safety risk.

Proof of general liability insurance with the limits of not less than two million dollars ($2,000,000) for events that do not include the above elements.
Proof of Insurance (Upload proof of general liability insurance)*

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Will parking be offered at the special event? (Even if off-site) *
Will the special event include non-food vendor(s)?*
Will the special event include food vendor(s)? *
Will the event include the sale or consumption of alcohol? *
Will any roads be temporarily blocked, fully blocked, or closed during the special event? *
Will the special event include fireworks, open flame, or fuel-fired cooking appliances? *
Will the special event include amplified noise? (e.g., stereo, live band etc.) *
Will the event include a tent or group of tents with a total area of 60 m² (645 ft²) or larger? Or a tent of any size attached to or within 3m of a building? *
Will permanent or temporary signage be used to publicly advertise the special event? *
Will the special event contain carnival rides, animal rides, animal exhibits, or amusement? *
Note:

Approval from each relevant department is required prior to the issuance of the Special Event Permit. Additional requirements may apply beyond those listed above. Associated fees are outlined in the Township’s Fees and Charges By-law.
Additional Information:
All required permits and approvals must be submitted prior to the issuance of a Special Event Permit. If you do not have the necessary documents available at the time of submitting this form, you are still required to provide them before your permit can be issued.

Following submission of this form, please send any outstanding permits or approvals to: clerk@swox.org
Declaration
By signing this application, the Special Event Host and Special Event Organizer agree to the following conditions:

1. Indemnification: The Special Event Host and Special Event Organizer agree to hold the Township of South-West Oxford harmless from any and all claims, damages, or liabilities arising out of the event and/or any associated road closures. The Special Event Host and Special Event Organizer will also provide any required bonds or insurance to cover such claims as specified by the Town.

2. Traffic Control and Safety: The Special Event Host and Special Event Organizer are responsible for all costs associated with providing and maintaining adequate traffic control measures to ensure the safety of both the traveling public and event participants. This includes compliance with traffic management plans as required by the Special Event Permit By-law.

3. Compliance with By-laws: The Special Event Host and Special Event Organizer agree to comply with all applicable Town By-laws, including the Special Event Permit By-law 65-2025, and to adhere to any conditions outlined in the municipal permit authorization letter issued by the Town.

4. Public Disclosure: The Special Event Host and Special Event Organizer acknowledge that by submitting this application, the information provided—including any attached documents—will become public records. The application and related materials may be released upon request.
Applicant's Signature*

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Property Owner's Permission and Signature (if applicable)

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Should be Empty:

Special Event Permit Application

Contact Information

Special Event Information

Week Day Times

Weekend Times

Address of Event

Municipal Permit and Supporting Document Requirements

Additional Information:

Declaration