September 30, October 1, & October 2, 2016

Participate Activity Submission Form

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* 1. Contact Information

Organization Name/ Individual:

Contact Name:

Email Address:

Phone Number:

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* 2. Activity Name:

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* 3. Description of Activity(s):

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* 4. Activity Type(s): (Check all that apply)

Behind the scene

Collective Creation

Discussion

Hands on Activity

Performance

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* 5. Activity Category(s): (Check all that apply)

Comedy

Dance

Design

Film or Video

Heritage

Literature & Spoken Word

Music

New/Digital Media

Theatre

Visual Arts

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* 6. Would you like your activity to be at Queen Elizabeth Park Community and Culture Centre or outdoors?

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* 7. If you chose QEPCCC, what is your room preference?

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* 8. If you chose outdoor, which locations would you prefer?

Towne Square - Oakville

Centennial Square - Oakville

Bronte Gazebo - Bronte

Bronte Heritage Waterfront Park - Bronte

Westwood Park - Kerr Village

Heritage Square - Kerr Village

Not Applicable

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* 9. Activity Times:

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* 10. Setup Requirements (i.e. tables, chairs for all activities/events) available only at Indoor activities at QEPCCC:

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* 11. A/V Equipment (available only at Indoor activities at QEPCCC)?

Yes

Please Specify

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* 12. Stage required (available only at Indoor activities at QEPCCC)?

Yes

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* 13. Does your activity require volunteer's assistance?
*Volunteers are ONLY available at QEPCCC

Yes

If yes how many volunteers do you require?

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* 14. What would the volunteers at QEPCCC be required to assist with?

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* 15. Would you like to have a table to promote your organization?

Yes

Tables can be placed outside your activity room or in the Lobby, please specify.

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* 1. Contact Information

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* 2. Activity Name:

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* 3. Description of Activity(s):

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* 4. Activity Type(s): (Check all that apply)

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* 5. Activity Category(s): (Check all that apply)

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* 6. Would you like your activity to be at Queen Elizabeth Park Community and Culture Centre or outdoors?

Question Title

* 7. If you chose QEPCCC, what is your room preference?

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* 8. If you chose outdoor, which locations would you prefer?

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* 9. Activity Times:

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* 10. Setup Requirements (i.e. tables, chairs for all activities/events) available only at Indoor activities at QEPCCC:

Question Title

* 11. A/V Equipment (available only at Indoor activities at QEPCCC)?

Question Title

* 12. Stage required (available only at Indoor activities at QEPCCC)?

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* 13. Does your activity require volunteer's assistance?*Volunteers are ONLY available at QEPCCC

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* 14. What would the volunteers at QEPCCC be required to assist with?

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* 15. Would you like to have a table to promote your organization?

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* 16. Please provide any additional event details or information.

* 13. Does your activity require volunteer's assistance?
*Volunteers are ONLY available at QEPCCC