September 29, September 30, & October 1, 2017 Participant Activity Submission Form Question Title * 1. Contact Information Organization Name/ Individual: Contact Name: Email Address: Phone Number: Question Title * 2. Activity Name: Question Title * 3. Description of Activity(s): Question Title * 4. Activity Type(s): (Check all that apply) Behind the scene Collective Creation Discussion Hands on Activity Performance Question Title * 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 Question Title * 6. Would you like your activity to be at Queen Elizabeth Park Community and Culture Centre or outdoors? Indoor Outdoor Question Title * 7. If you chose QEPCCC, what is your room preference? Question Title * 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 Question Title * 9. Activity Times: Question Title * 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)? Yes No Please Specify Question Title * 12. Stage required (available only at Indoor activities at QEPCCC)? Yes No Question Title * 13. Does your activity require volunteer's assistance?*Volunteers are ONLY available at QEPCCC Yes No If yes how many volunteers do you require? Question Title * 14. What would the volunteers at QEPCCC be required to assist with? Question Title * 15. Would you like to have a table to promote your organization? Yes No Tables can be placed outside your activity room or in the Lobby, please specify. Question Title * 16. Please provide any additional event details or information. Submit