Sudbury Health Form | INKEDCIRCUS

Event Information

Event: Inked Circus Tattoo Expo — Sudbury

Location: SteelWorkers' Union Hall & Conference Centre, 66 Brady St, Greater Sudbury, ON P3E 1C8

Dates: August 21–23, 2026

Organizer: Inked Circus Expos · info@inkedcircusexpos.com

Business / Person in Charge

Business Name*

Business Address*

Owner / Contact Legal Name*

Chosen Name (if different)

Pronouns

Telephone*

Email*

Service Providers at the Event

List the individuals who will be providing services at the event. Provider 1 is required; add up to 3.

Provider 1 (required)

Legal Name*

Chosen Name (if different)

Pronouns

Telephone*

Email

Provider 2

Legal Name

Chosen Name (if different)

Pronouns

Telephone

Email

Provider 3

Legal Name

Chosen Name (if different)

Pronouns

Telephone

Email

Personal Service & Critical Items

Are Critical Items Single-Use / Disposable?*

yesno

Set Up*

Indoor FacilityOutdoor Facility

Water Supply & Waste Disposal

Potable Water Supply*

Municipal hookupCommercially bottledPrivate supplyOther

Method of Wastewater Disposal

MunicipalOther

Number of Garbage Receptacles in Booth

12Other

Approved Sharps Container Provided?

yesno

Instruments / Supplies

Disinfection & Reprocessing

Name of Disinfectant(s) Available On-Site & Their Use

Test Strips Provided for Disinfection

yesnoN/A

How Will Semi-Critical & Non-Critical Instruments Be Cleaned/Disinfected During the Event?

Spore Test

Will You Provide a Copy of Spore Test Results Processed Within 30 Days of the Event?

yesno

Were Instruments Used at the Event Processed After the Above-Mentioned Passed Spore Test Date?

yesno

Hand Hygiene Stations

Locations

WashroomsBoothPortable handwash station

Other (Hand Hygiene Details)

Declaration & Signature

I hereby certify that the information contained in this application is accurate.

Date*

Applicant Signature*

Inked Circus SEPSP Form

Event Information

Business / Person in Charge

Service Providers at the Event

Personal Service & Critical Items

Water Supply & Waste Disposal

Instruments / Supplies

Disinfection & Reprocessing

Spore Test

Hand Hygiene Stations

Declaration & Signature