Thank you for your interest in hosting an ice rink in your neighbourhood! Before completing this application form, please take a moment to review the Neighbourhood-Managed Ice Rink Program Guide The guide provides detailed information on protocol and procedures which will help you complete your application.

PLEASE NOTE: Due to limited program capacity, not all rink applications may be approved. If you have any questions, please email neighbourhoodicerinks@london.ca or call 519.661.5336. Thank you!

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1. Contact Information for Lead Resident (Required.)

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2. Are you applying as part of an incorporated group?
(Incorporated organizations are clubs or community groups that are registered with the government) This is not a requirement of the program.

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3. If yes, what is the name of your incorporated group?

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4. Proposed Neighbourhood-Managed Ice Rink Location (Required.)

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5. OPTIONAL: It is helpful if you upload an image of the exact location in the park where you would like to have your ice rink.

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6. If your desired location is unavailable (or not suitable) do you have a another location where you would like to host the rink?

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7. If yes, which park did you have in mind?

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8. Have you participated in the Neighbourhood-Managed Ice Rink Program before?

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9. Do you have a water source secured? (Required.)

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10. If yes, please describe your water source.

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11. Neighbourhood-Managed Ice Rinks require six (6) dedicated volunteers (18 years +). Please list the names of five (5) volunteers, in addition to yourself, who have agreed to support your outdoor rink. (Required.)

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12. Please agree to the statements below to complete your application. (Required.)

The personal information collected on this form is collected under the authority of the Municipal Act, 2001, S.O. 2001, c. 25, and will be used to correspond with you. Questions about this collection should be addressed to the Manager, Neighbourhood Development and Support at Citi Plaza, 355 Wellington Street, Suite 248, PO Box 5045 London, ON N6A 4L6 Tel: 519-661-2489, email: jmartino@london.ca

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