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County of Brant Court Request

Name (First and Last)

Organization/Department

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

City

Postal Code

Phone Number (s)

Secondary Contact

Yes

Adult or Youth Group

Youth

Adult

Both Adult and Youth

Are you a League?

Yes

If yes, Do you only play at County of Brant facilities or other Municipalities?

Is this request for a tournament/special event? Additional paperwork will be required and provided from the Facility Booking office once event approved.

Yes

Please provide first date of season required

Please provide last date of season required

Please note any dates not required during season, including statutory holidays

Please note the court(s), day of the week and times for each date you are requesting. Also include type of activity (practice or game).eg. Court 1 and 3, Monday 5:30pm-7:30pm Practice.

Type of Event/Function

Expected Attendance

Does your group have accessibility requirements?

Yes

Do you want to book a picnic shelter/area also? (if available)

Yes

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. If you are part of a sports association (ex.Ontario Volleyball) you must provide your own

Yes, $2 million

Yes, $5 million

No, will provide own certificate of insurance

Please provide any additional information about your event/function

Please provide your signature

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519.44BRANT (519.442.7268) 1.855.44BRANT

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