Gaming Licence Application Request - Ticket Raffle
SDSS groups who are running a raffle must have a gaming licence. The PAC will apply on your behalf when you submit this form. Refer to the  Licensed Charitable Gaming Rules (gov.bc.ca)
Sign in to Google to save your progress. Learn more
Email *
What is your name? *
What SDSS group are you with? *
What class of licence do you want to apply for? *
Captionless Image
What kind of Raffle Type is it? *
Are you planning to use computerized or electronic systems? Class A and B only. (If yes, must complete this Addendum and attach your signed service agreement -  Addendum to Application - Electronic Raffle Systems (gov.bc.ca) ) *
If a percentage draw (i.e. 50/50) what is the draw percentage? *
Ticket sale start date. *
MM
/
DD
/
YYYY
Ticket sale end date. *
MM
/
DD
/
YYYY
List each ticket price and the number of tickets at that price in addition to the total number of tickets available at that price. i.e.
1 for $2  Total Number of Tickets 200
3 for $5  Total Number of Tickets 300
What is the total projected sales ($) based on the total number of tickets at each price? *
Describe when and where the draw(s) will occur. Be sure to include the time range of ticket sales, draw time, number of draws and the location of the draw(s) including location name, address, city, B.C., and postal code.

Draw times can be a specific time, or event, e.g. 2 p.m., “mid-point of the third period” or “after the 2nd race”.

Multiple draws may be included on one licence. The draw time and location of each draw must be included at the time of application  
 *
Describe how the net proceeds will be used.   
 *
Contact information for Officer Responsible #1 (will also be listed as Contact Person). Include position, names, address, phone numbers, email. *
Contact information for Officer Responsible #2. Include position, names, address, phone numbers, email. *
Do you agree to submit the following right after the completion of the last raffle to sdsspactreasurer@gmail.com ?
At the time of the draw(s), a list of winners must be completed, signed and witnessed by at least two volunteers; one of whom is a board member of the organization or a person authorized by the board. The list must contain the: 
• Date and time of the draw;
• Record of each ticket stub or counterfoil drawn; 
• Ticket serial number; and
• Name, email/mailing address and telephone number of the prize winner. 
Winners must provide a signature before claiming prizes for: 
• Gaming events projecting $250,000 or more when the fair market value of a prize is greater than $1,000; 
• All other raffles when the fair market value of a prize is greater than $100  
 *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms