Rental Application | The Falstaff Family Centre

Before completing the form, please read the Rental Terms and Conditions.

Please also review the fee schedule for rentals.

First name

Last name

Organization

Email

Phone

Type of Event / Activity

Rental Space

The Community Room

Basement Classroom

The Kitchen (Commercial)

The Grounds

START (Date & Time)

Year

Month

Day

Time

HoursMinutes

END (Date & Time)

Year

Month

Day

Time

HoursMinutes

Adult Attendees

Child / Youth Attendees

Please note that any children present at your event must be supervised by an assigned adult in attendance.

Child Supervisor Name

Do you have accessibility needs (chairlift or elevator)?

Yes

No

We require all renters to carry insurance. Do you have an existing policy that will cover your event or activity?

Yes

No

If you are not insured, please visit Duoo (by Cooperators) for event coverage. Begin by searching Falstaff Family Centre within their quoting tool. Please also review Section #19 of our Terms and Conditions.

Will you be seeking a special occasion permit to serve alcohol?

Yes

No

Is the event open to the public?

Yes

No

Will food be served?

Yes

No

For public events where food will be served, we require a certified food handler to be responsible for health and safety. Please indicate their name and upload a copy of their certificate.

Setup notes

Describe how you would like the room setup - number and kinds of tables (see Seating Plans on our Rentals page).

I, the Applicant(s), have read the Policies Terms and Conditions under which this Rental application is being made and I hereby accept full responsibility for the obligations stated therein.

Applicant Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Information collected of this application form is collected by the Falstaff Family Centre and will be used by the Centre to review and process

applications for rental of space in the Falstaff Family Centre. The Falstaff Family Centre reserves the right to refuse any rental application.

Falstaff

Family

Centre

519-273-3876