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Required fields are marked with asterisks (*)

Lighting for a Cause

Colours

The Tepee may be lit in various colours with three configuration options.

Advertising

The City of Medicine Hat will display the dates and description of all approved lighting requests on the lighting schedule on our website. *The City of Medicine Hat reserves the right to edit the submitted description.

The City of Medicine Hat does not otherwise advertise a cause or event for which the tepee is lit but we encourage each organization to raise awareness on their own accord.

Fees and payment

Successful applicants are charged an administrative fee to light the tepee as follows:

  • $100 per day 
  • $250 per week

Pursuant to s. 33 (c) of the Freedom of Information and the Protection of Privacy Act, the personal information collected on this form is for the purpose of an operating program or activity of the City of Medicine Hat. The City of Medicine Hat must collect personal information directly from the individual that the information is about unless another method of collection is authorized by the individual or by an enactment of Alberta or Canada. The personal information provided will be protected under Part 2 of the Freedom of Information and the Protection of Privacy Act and will be used for processing your application.

Questions regarding the collection and use of personal information can be directed to the FOIPP Head of Local Body at 403-529-8234.

By submitting this application/form you acknowledge and agree that any electronic signature provided by you herein is the same as a handwritten signature for the purposes of legality, validity, enforceability, and admissibility.

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