Required fields are marked with asterisks (*)

Event participation request

Thank you for contacting the Region of Waterloo Water and Wastewater Services to request our participation at your upcoming event. Completing this form provides us with information to determine our availability to participate. Please note that submitting this form is not a confirmation the Region of Waterloo is available to attend your event. Allow up to five working days for Region of Waterloo staff to review the information and provide a response.

How can we contact you.

Organization (if applicable)

Name of person to contact

Email address

Daytime phone number (mobile or landline)

Extension

Tell us about your event.

Name of event

Event date(s) and times

Location of event

General description of event

Anticipated number of attendees

less than 100

100 to 249

250 to 499

500+

How will you be promoting the event

Is this event open to the general public?

Yes

Is there an admission fee?

Yes

Event website / Facebook page

What would you like us to provide for your event (select all that apply)

Table display

Presentation

Region of Waterloo Form

Event participation request

How can we contact you.

Tell us about your event.