Required fields are marked with asterisks (*)

Flag Raising Request

If you'd like to request that the Township of Severn fly a flag to celebrate or recognize an event or cause, you need to complete this form. Please make sure to submit this request at least four weeks in advance of the flag raising. If accepted, your organization will need to provide the flag.

Name of organization

Phone number

Privacy statement

Information contained on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act. Information collected will be used and managed by the Township of Severn in accordance with the Municipal Freedom of Information and Protection of Privacy Act for general municipal operations. If you require additional information, please view our Freedom of Information and Routine Disclosure Policy.

Please indicate that you've read and understand the above privacy statement.

Yes

What is the name of the event or cause for the flag raising?

How long would you like the flag to be flown?

Month

Week

Please provide an explanation and purpose of the event or occasion

Please provide a description of your organization including any local, national or international affiliations

Please provide a brief history or any other relevant information

Date of request

Forms

Flag Raising Request

Privacy statement