County of Brant Banquet Hall and Room Request

Name (First and Last)

Organization/Department

Address (Street address, P.O. Box, R.R. #, Apt/Suite)

City

Postal Code

Phone Number (s)

Email

Please provide date of event/function

Start time of event/function:

End time of event/function

If this date is not available, would you like to provide an alternate date?

Yes

No

Do you require additional set up and clean up times beyond the requested times?

Yes

No

Pick facility you would like to book:

Airport Community Centre

Brant Sports Complex

Burford Community Centre

Gaukel Memorial Community Centre

Scotland Community Centre

Syl Apps Community Centre

TF Warren Group Cainsville Community Centre

Wilkin Family Community Centre

If this location is not available do you want another location(s)? Please list your other options.

Expected Attendance

Is the event for youth ages 13-17?

Yes

No

Will alcohol be served at your function? (additional documentation will be required)

Yes

No

Will your event be catered?

Yes

No

Do you require any additional equipment? Check all that apply and all are dependant upon availability

None

Screen

Projector

Microphone

Audio System

Podium

Coffee Urn

Extension Cord(s)

Flip Chart/Easel

How is the hall/room to be set up?

closed square

open square

theater style

classroom style

no tables or chairs

submit custom layout

Will you be bringing any rented items? eg. glasses, linens, etc

Yes

No

Are you bringing in any additional entertainment or vendors? eg. reptile show, disc jockey, bouncy castle, soft play center, etc. (subject to supervisor approval and additional documentation could be required)

Yes

No

Liability insurance is mandatory for all rentals at County of Brant facilities at an additional cost. Please let us know which insurance you would like to purchase. Alcohol bookings are required to have 5 million liability insurance

Yes, $2 million

Yes, $5 million

No, will provide own certificate of insurance. (If you already have your own liability insurance you must provide your own.)

Please provide any additional information about your event/function

Please provide your signature

Clear