Club Event Planning Approval Form
Club Event Planning Approval Form for 2019-2020 Academic Year
Note: The Primary Event Organizer should submit this form at least ten (10) days prior to their event.
Name of Club/Society *
Your answer
Primary Event Organizer (must attend event): *
Your answer
Contact Number *
Your answer
Position *
Your answer
Name/Description of Event *
Your answer
Purpose of Event *
Your answer
Event Date(s) *
Your answer
Start Time *
Time
:
End Time *
Time
:
Is the event date Tentative or Confirmed? Note: If it is selected as "Tentative", a confirmed date must be provided for final approval. *
Location/Destination of Event (please include whether or not is in on campus) *
Your answer
Expected Number of Participants *
Your answer
Please select any of the following components your event includes.
*Please note: If you selected yes to there being alcohol consumption at your event, the event must be held in a licensed establishment with properly qualified security and service staff.
If any of the above components were selected for your event, please use this space provided to describe them and indicate the steps you will take to minimize any risk involved.
Your answer
Physical Activity *
*Please note that NUSU does not have coverage for Participant Healthcare. Thus, we cannot sanction events that have high amounts of physical activity unless waivers are presented to and signed by all participants. All signed waivers must be delivered to the NUSU office prior to the event.
Action Steps to Minimize Risk (please select all that are applicable)
By checking the box below, you hereby agree to act as the primary event organizer for the above event for your club. *
Required
I am fully responsible that:
1) I will be responsible for organizing the event
2) I will ensure that the event is run within these documented conditions
3) If the event deviates in any way from the above description, NUSU cannot be held responsible for any and all outcomes of any incident
4) I will ensure that the participants are made aware of the rules/procedures for the event
5) It is my responsibility to ensure that every student assistant involved with the event is aware of their responsibilities
6) In the event of an incident, will complete a detailed Student Event Incident Report and submit it to the Vice-President Student Life of the Nipissing University Student Union
7) The primary event organizer will be held accountable to the president of their organization and/or the Nipissing University Student Union
By checking the box below, I agree to uphold all the requirements of the primary event organizer and agree to not consume any alcohol or drugs on the day of the event until the event ends and all the participants have safely dispersed. *
Required
Applicant Name *
Your answer
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