The Community Room - Rental Application

(* = required field)

Contact Information
Name of Group/Organization:
Do you have a Valid Certificate of Insurance?
 Expiry Date:
Are you a for-profit or not for-profit organization??
Name of Contact Person*:
Address of Contact Person:
Home Phone Number:

*Please provide at least one phone number		 Cell Phone Number:
Email Address*:
Event Information
Number of Persons Attending:
 Which Areas are to be Used:
 Community Room   Kitchen   Chapel 
If you have selected the kitchen, please specify for what use:
Will you be needing Catering?
Will there be someone on site with a food preparation course?
Name of the person:
Will you be needing the use of our Audio and Video Equipment?
For what purposes?
For what activities will you be using the Community Room?*
Date*:
Start Time:
 End time:

*PLEASE NOTE THAT WE CANNOT ENSURE THIS IS AN ALLERGY FREE FACILITY*



Receptions ~ Events ~ Conferences ~ Workshops

Please confirm all information before submitting.

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