Special Event Personal Services Vendor Application Form

This form is for Personal Services Vendors. Please complete and submit this form at least 14 days prior to the event.

For more information for event organizers and vendors, please refer to the Special Events page.

Event Information
Vendor Information
Do you belong to a regulatory college?
Booth location
Aesthetic Services
Aesthetic services provided

 

If yes, list services to be provided:

 

Service Weight
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Single use (disposable) equipment to be used (select all that apply)

Note: premises must provide an adequate supply of reusable items or must obtain Public Health approval for on-site cleaning and disinfection of reusable items.

Tatooing/Piercing services provided
Tatooing/Piercing services provided
Single use (disposable) equipment to be used (select all that apply)
Reusable equipment to be used (select all that apply)
Sharps/Garbage
Will there be approved sharps containers on site?
Will you have a lined garbage can with a tight-fitting lid on site?
Water Supply
What will be the source of water on site?

 

If hauled water, provide the name and phone number of the hauler:

 

Name Phone Weight
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What method of waste water disposal will be used?
Hygiene Practices
What type of hand hygiene stations will be available?
What hand station supplies will be provided (select all that apply)?
Cleaning and Disinfecting

Disinfectants to be used:

Name of disinfectant Drug Identification Number What will disinfectant be used for? Weight
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Note: all dirty equipment must be stored in puncture proof containers with tight fitting lids and transported back to main business for cleaning, disinfection/sterilization. Dirty equipment must be submerged in water and detergent or enzymatic cleaner. Dirty equipment must be cleaned and disinfected/or sterilized prior to reuse.

Additional Comments (optional)

Final Statement

By submitting, I agree that I have received and read the Infection Control Checklist for Operating Personal Services at Temporary Events for vendors (opens in new tab). I understand the requirement for temporary personal service vendors at temporary events and have provided the information to all personal service workers that will be working in my booth at the event. I agree that all the information I have provided on the application form is accurate.

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