Required fields are marked with asterisks (*)

Flag Raising Request Form

You must submit a Flag Raising Request Form a minimum of two (2) weeks in advance of when you are requesting a flag to be flown.

The organization requesting to fly a flag must:

• Be a charity or non-profit organization that benefits the residents of the Town, or has provincial or national significance;
• Endorse civic pride;

The Town will not permit flags in recognition of:

Political parties
Religious affiliations
Other national flags with the exception of the British Flag at Cenotaph Park

An organization's request may be denied if:

The intent that is contrary to any previously established Town of LaSalle by-laws or policies;
It has the potentional to negatively reflect the Town's image;
It promotes any form of discrimiation, including race, national origin, religion, sex, gender, sexual orientation or age;
It degrades/slanders any individual, group, Town service, event or program;
It promotes unlawful behaviour including violence or hate.

The Town reserves the right to schedule a flag raising based on the availability of flag poles.

Please note that the Mayor, CAO and Clerk have the authority to accept or deny applications.

For more information, please see the Town's Flag Raising Policy M-GEN-004.

Organization and Contact Information

Organization Name

Contact First Name

Contact Last Name

Street Address

City/Town

Postal code

Organization Telephone Number

Organization Email Address

URL for Organization's website

Flag Information

Date Requested for Flag Raising

Rain Date Requested for Flag Raising

Name of Flag Requested to be Raised

Purpose of Flag Raising

Please upload an image of the flag or official letterhead and flag raising itinerary:

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Will there be a ceremony to raise the flag ?

Yes

Additional Notes (Optional)

Applicant Declaration

I, the undersigned, declare that all of the information provided is true and correct. I understand that the submission of this application does not guarantee that my request will be granted. I further understand that the decision to grant or deny my request is a joint decision made by the the Mayor, CAO and Clerk and is final.

Signature of Applicant

Clear

Privacy Statement: The information collected on this form will be circulated to the Mayor, CAO and Clerk for review, and will be used to determine whether or not your flag raising request will be granted per with Flag Raising Policy M-GEN-004. Questions about the collection of this information can be directed to the Director of Council Services/Clerk, Town of LaSalle, 5950 Malden Road, N9H 1S4. Telephone: 519-969-7770 ext. 1223.