Facility Rental Request Form

Please note: The fields marked * are mandatory.

Applicant Information

Name (Last, First)*

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Address*

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City*

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Province*

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Postal Code*

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Phone Number*

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Email Address*

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Rental Request Details

Expected Attendance

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Preferred Location*

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Specific Area

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Alternate Location

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Alternate Specified Area

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Rental Type*

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Please specify if Other

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Does your rental include alcohol?*Yes
No

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Does your rental include an amusement device or inflatable?*Yes
No

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Preferred Start Date*

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Preferred End Date*

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Frequency*

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Preferred Start Time*

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Preferred End Time*

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Exclusion Dates

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Alternate Start Date

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Alternate End Date

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Alternate Start Time

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Alternate End Time

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Liability Insurance

I understand that, in order for my rental to be considered, the Rental Agreement Holder is required to hold a third party liability certificate of insurance naming the City of Brampton' as an additional insured with a minimum of $5,000,000 coverage. Facility user liability insurance coverage will be required to be in place, by way of either:

Purchasing the applicable liability insurance through the City of Brampton during the booking process; or
Obtaining sufficient liability insurance coverage that is equivalent to the City's liability insurance requirements.

Liability Insurance*I agree.

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Disclaimer

I understand that, this is a request form only; availability is subject to change based on rental requests currently being processed. I have no rights or claims to the requested space until such time as I receive a tentative Rental Agreement for my acknowledgment and verification of the rental details.

Incomplete forms and/or requests received less than 4 weeks in advance may not be considered.

Disclaimer*I agree.

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*Please type the letters appearing in the image above. Why do I need to do this?

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Privacy Statement

The personal information on this form is collected under authority of the Municipal Act SO 2001, c. 25. The information will be used to communicate with you regarding your recreation user account.

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Privacy Statement

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