Special Event Organizer Notification

Special Event Organizer Notification
Thank you for registering your special event with Alberta Health Services! Please follow these instructions:
1. Review the Organizer Information Package available on our website to ensure that you have all the information you need to complete this notification.
2. Complete one notification for each event that you manage.
3. To save your progress, scroll to the bottom of any page and click Save.
4. You will receive an email to confirm your registration. Keep this email handy as it allows you to edit your submission if needed.
5. If you have questions, or need assistance, plase contact us at 1-833-476-4743.
Event Organizers are responsible for:
1. Ensuring AHS is notified what vendors are participating in the event.
2. Ensuring AHS receives vendor notification forms for temporary food and personal services operations.
3. Ensuring information is received by the stipulated deadlines.
  - Event notifications must be receieved 30 days in advance.
  - Changes to the registration and vendor notifications can be made up until 14 days in advance.
AHS is NOT responsible for contacting vendors who appear in the Organizer List that fail to submit their notification forms. This responsibility lies with the event organizer.
Is your event being organized by a not-for-profit organization for fundraising or social purposes?*

YesNo
Is this event hosted exclusively by volunteers and/or volunteer caterers?*

YesNo
Your event is a community organization function.

You must fill out the community organization function form instead.
Event Details

Record details about your event in the following section.
Event Name*
Event Location*

Street/Rural Address

Street/Rural Address Line 2

City / MunicipalityState / Province

Postal / Zip Code
Other details about the proposed event location (if applicable)
Example: This event is being held in the parking lot and soccer field next to the Wildrose Community Hall.
Where in Alberta is this event taking place?*

North ZoneEdmonton ZoneCentral ZoneCalgary ZoneSouth Zone
Not sure which Zone to pick? Check out this Zone Map.
Start Date*

YearMonthDay
Date
End Date*

YearMonthDay
Date
Instructions: for the "Days / Description" field below, you may refer to:
- Specific days of the week if the start and end time vary each day, OR
- Date ranges if event hours are the same for set periods of time.
- Example: Friday: 4 pm - 10 pm; Sat-Sun: 10 am - 5 pm
Select "Add Row" to add as many entry fields that you need.
Describe when this event will be open to the public.*
Provide a brief description of the event.
How many people are expected to attend the event each day?*
Please provide an estimated number or range.

Organizer Details

Use this section to describe who AHS should contact to discuss this notification.
Organizer Name*

First NameLast Name
Organizer Phone Number*
Please enter a valid phone number.
Organizer Email*
example@example.com
Organizer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will {organizerName} be on-site during the event?*

YesNo
What is the best number to reach {organizerName} during the event?*
Please enter a valid cellphone number.
Who will be in on-site and in charge during the event?*

First NameLast Name
Position / Title
Cellphone Number*
Please enter a valid cellphone number to reach this individual during the event.

Washroom Facilities Provided for Event Attendees

How many toilets and handwashing sinks will be available at the event?*

	Permanent Toilets	Temporary Toilets	Permanent Handwashing Sinks	Temporary Handwashing Stations	Hand Sanitizer Stations
Number Available

CAUTION: hand sanitizer stations cannot replace handwashing sinks in most situations. Please discuss the intended use of any hand sanitizer with the Public Health Inspector that contacts you once you register your event.

INFORMATION: Not sure what a temporary handwashing station looks like? Please refer to the attached resource document available on our website!
How will SEWAGE disposal be managed during the event? [Select all that apply]*

Direct connections to a municipal sewerSeptic FieldHolding Tank(s) / Pump TruckNot Applicable (N/A)Other
Name of trucking company and frequency of removal
Provide the name of the company this is under contract for sewage disposal and the frequency with which sewage will be removed.
How will WASTEWATER disposal be managed during the event? [Select all that apply]*

Direct connections to a municipal drainage systemHolding Tank(s) / Pump TruckNot Applicable (N/A)Other
Name of trucking company and frequency of removal
Provide the name of the company this is under contract for wastewater disposal and the frequency with which liquid waste will be removed.

Vendor Details
Provide details for each vendor that is attending this event.*
IMPORTANT NOTE: this list will be used to cross reference the VENDOR NOTIFICATIONS that you submit for temporary food and personal service vendors.
- Temporary Food Vendor notifications can be accessed here.
- Personal Service Vendor notifications can be accessed here.
Mobile (Food Trucks), low risk home prepared foods, playground and petting zoo operations must be listed in this section, but do not require individual vendor notifications.

General information and resources on special event requirements can be found on our website at the following link.
Are you requiring vendors to be set up and ready to open by a particular time?

YesNo
Please provide details....
E.g. one hour before the start of the event, the night before the event, a particular date/time...
Has the event organizer, the municipality, or the owner of the site where the event is taking place, imposed any restrictions on the event or its vendors? Provide details.
Examples: no cooking on-site; no generator use; electrical supply limitations; sale of pre-packaged foods only...

Site Layout
Attach a site map of the special event.

Accepted file format: GIF, JPG, PNG, DOC and PDF. File size limit: 5MB. One file only.
Cancelof
What is included / shown on the site map? [Select all that apply]

Vendors (including permitted mobiles)Washroom FacilitiesHandwashing sinksSolid Waste Collection Sites (garbage / sharps)Wastewater Collection SitesAdministrative Offices / TentsFirst Aid TentOther

Submission Page
Additional Comments
Use this area to provide any additional details or information about the event.
I certify that the information provided on this notification is true and accurate to the best of my knowledge.*

First NameLast Name
Please verify that you are human*
IMPORTANT REMINDER: as the organizer of this event, you will receive a copy of every vendor notification that is completed. Keep track of these! It is up to you to ensure vendors who wish to participate in the event submit their forms to AHS before the event deadline.

All notifications must be received 30 days in advance.

The deadline for any edits or revisions to ORGANIZER and VENDOR notifications for {eventName} is 14 days prior to opening on {startDate}.

Got questions? Want more information? Go to our website or contact Environmental Public Health at 1-833-476-4743.
Should be Empty:

Special Event Organizer Notification

Event Details

Organizer Details

Washroom Facilities Provided for Event Attendees

Other Utilities & Equipment Provided

Vendor Details

Site Layout

Submission Page