County of Brant Picnic and Park Request

Please contact the facility booking office at 519-442-1944 or email for more information

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

Provide Name of Birthday Child and How Old they are turning

Expected Attendance

Do you require hydro?

Yes

No

Will inflatable devices (bouncy castles) or tents be at your event? (approval from manager/supervisor and additional documentation will be required)

Yes

No

Will your event be open to the public

Yes

No

Will you be serving alcohol? (pending supervisor approval and additional documentation will be required)

Yes

No

Does your group have any accessiblity requirements? (If yes please provide further details below)

Yes

No

Will you be selling or cooking food?

Yes

No

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

Yes

No

Are you fundraising or soliciting donations?

Yes

No

Will your event involve amplified sound?

Yes

No

Are you attending a drop in session (eg. Public Swim)

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. If you already have your own liability insurance 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. Also please provide additional details for any questions that were answered yes. Approval from manager/supervisor and additional documentation may be required.

Please provide your signature

Clear