MD Foothills Burn Permits | Fireworks Permit Application Form

Applicant Details

First Name:
Last Name:

Cell Number:
(Must be able to receive Text Messaging)
( ) -
Email:
Please provide the address of where you would like to discharge the fireworks:
Please provide the approximate acres of your property:
(Please use numeric values only)
Please provide the date you wish to discharge your fireworks:
Please provide the time you will discharge your fireworks:

I confirm that the person discharging the fireworks will be eighteen or older:

To be eligible for this permit, you must eighteen or older.

I confirm that I am the property owner OR I have written consent from the property owner to discharge fireworks at the location I listed:

To be eligible for this permit, you must the property owner OR have written consent from the property owner to discharge fireworks at the location.

I confirm that spectators will be a safe distance from the discharge area, as specified on the label of the fireworks:

To be eligible for this permit, you must confirm that spectators will be a safe distance from the discharge area, as specified on the label of the fireworks.

I confirm that all products will be discharged, set-off or released consistent with the manufacturer's specifications as indicated on the product label:

To be eligible for this permit, you must that all products will be discharged, set-off or released consistent with the manufacturer's specifications as indicated on the product label.

I confirm that a listed and labeled portable fire extinguisher having a minimum rating of 2A (3 gallons of water) or water supply (garden hose) shall be provided in the immediate area where fireworks are being discharged, fired or set off:

To be eligible for this permit, you must confirm that a listed and labeled portable fire extinguisher having a minimum rating of 2A (3 gallons of water) or water supply (garden hose) shall be provided in the immediate area where fireworks are being discharged, fired or set off.

I confirm that I will NOT discharge fireworks on or over public lands. This includes school property, parks, golf courses, roadways or any other public property:

To be eligible for this permit, you must confirm that I will NOT discharge fireworks on or over public lands. This includes school property, parks, golf courses, roadways or any other public property.

I confirm that I will NOT discharge fireworks when the wind velocity exceeds 45 km/hr, a fire ban or restriction is in place, or when it is deemed unsafe by the Foothills County Fire Department. Weather conditions can create an undue fire hazard:

To be eligible for this permit, you must confirm that I will NOT discharge fireworks when the wind velocity exceeds 45 km/hr, a fire ban or restriction is in place, or when it is deemed unsafe by the Foothills County Fire Department. Weather conditions can create an undue fire hazard.

I confirm that I will NOT discharge fireworks, or set off fireworks in or near a building, tent, trailer, canvas shelter, trees, flammable or combustible substance, or motor vehicle:

To be eligible for this permit, you must confirm that I will NOT discharge fireworks, or set off fireworks in or near a building, tent, trailer, canvas shelter, trees, flammable or combustible substance, or motor vehicle.

I confirm that I will notify Foothills County Fire Rescue dispatch 30 - 45 minutes PRIOR to discharge. 1-888-808-3722:

To be eligible for this permit, you must confirm that I will notify Foothills County Fire Rescue dispatch 30 - 45 minutes PRIOR to discharge. 1-888-808-3722.

I have read and accept all of the above conditions:
Warning Statement:Discharge of fireworks must comply with Foothills County Fireworks Discharge Bylaw.

To be eligible for this permit, you must accept all of the above conditions.