Satellite Site Request Form 2016-01-19T14:41:22+00:00

This form is to be completed in order to request a Walkhome satellite site. Pending approval, Walkhome staff will be present at your event/conference, in order to provide the option of safe and enjoyable accompaniment on walks at night. Once approved, you may advertise the presence of Walkhome where you see fit. If you have any questions, please contact walkhome.stakeholder@ams.queensu.ca.

Name Of Conference/Event(required)

Primary Contact Information

Contact Name (required)

Contact Number (required)

Contact Email (required)

Event Information

Number Of Attendees

Event Date(s)

Start Date:
If Event will take place over multiple days, please indicate the other dates here:

Event Start Time

Event End Time


*If your event is taking place over multiple days at different times, please indicate this in the additional comments box at the bottom of this page

Estimated Departure Hours (when do you think people will be leaving your event)

Event Location (Location Name, Street Address and Post Code)

Will alcohol be available at this event?

Additional Comments

We (the event organizers) agree to work cooperatively with Walkhome and their staff, and understand that final decisions on staffing and operations will remain with the Walkhome management