Facility Rental Request Form

Applicant Details

Group or Organization Name (if applicable)

First & Last Name

Position within group/organization (if applicable)

Mailing Address

Town / City

Province / State

Postal Code / Zip Code

Phone Number

Number of Guests

Will a Breakout Room be Needed?

Yes

No

Type of Function

Birthday Party

Elections

Exhibition

Meeting (no alcohol)

Retirement Party

Sporting Event

Wedding Ceremony

Wedding Reception

Other

Will there be Alcohol at the event?

Yes

No

Start Date of Function (mm/dd/yyyy)

Beginning Time

End Date of Function (mm/dd/yyyy)

Ending Time

Event Details; Set-Up Requirements & Additional Notes