Event Request Form

Your event details

Venue

Event Date

Nature of the event

Anticipated number of guests

Is there any additional information you would like to add?

Your contact information

First Name

Last Name

Email Address

Phone Number

Ext:

Company (if applicable)

Preferred method of communication

Best time to follow up with you regarding this request?

Terms and Conditions

I hereby accept the Terms & Conditions listed below.

I hereby grant permission for the City of Burnaby to use and access the personal information given above for the sole purpose of communications in regards to the possibility of hosting my event at a City of Burnaby venue. (Personal information is never improperly disclosed nor is it sold to outside parties. The information provided enables us to answer your questions and help meet your specific event needs and expectations of our customers.) The personal information you provide during the registration process is collected and used under the authority of the Freedom of Information and Protection of Privacy Act s. 26(c) for the purpose of administering parks, recreation and cultural programs, informing you of our services and benefits and for statistical purposes. If you have questions about the collection, use or disclosure of your personal information, please contact Food Burnaby at 604-297-4888.