1 - 2 Facility Requests Form

Office hours are Monday to Friday, 8:30 am– 4:30 pm
Requests submitted after business hours will be received the next business day.
Please note some facilities require a minimum booking time. e.g. the minimum time ice can be booked is one hour.

Click here for up to 10 request in one submission.

Contact Information:

Organization Name:	*
Contact Person:	*
Address:	*
Town/City:	*	Postal Code: *
Tel. (Business):
Tel. (Home):	*
Fax:
E-mail:	*

Participant Information:

Number of Participants:	Youth * Adults *
Number of Teams:	Youth Adults Spectators

First Rental Information:

Complex: * Facility: *
Start Date: *	Start Time: *
End Date: *	End Time: *

Nature of Use: *

Second Rental Information:

Complex: Facility:
Start Date:	Start Time:
End Date:	End Time:

Nature of Use:

Special Permission and Licensing is Required for the Following:

Are you serving food?	Yes No *
Are you selling food?	Yes No *
Are you selling merchandise?	Yes No *
Are you serving alcohol?	Yes No *
Are you charging admission?	Yes No *
Are you using a sound system?	Yes No *
Is setup required?	Yes No *
If set up required, explain:

Additional Requirements/Equipment:

School Requests Only:	(may be subject to additional costs)
Do you require Volleyball standards?	Yes No *
Do you require Basketball nets lowered?	Yes No *

Arena Requests Only:	(may be subject to additional costs)
Do you require nets?	Yes No *
Do you require nets to be pegged?	Yes No *
Do you require goalie boards?	Yes No *
Do you require pylons?	Yes No *

Acton Arena, Gellert, Mold-Masters Only:	(may be subject to additional costs)
Do you require audio visual equipment?	Yes No *
If yes, please specify:

Insurance:

All groups are required to carry liability insurance in the amount of $2 million dollars. If you do not already have coverage you can purchase insurance through the Town at a reasonable rate. Please note that the insurance purchased from the Town is only valid for activities that occur at approved Municipal or School Board property. If your group does have liability insurance coverage, we require a copy of the certificate, which must specify the following: $2 million dollars liability insurance coverage per occurrence. Names ‘The Corporation of the Town of Halton Hills' and appropriate school board where applicable as ‘Additional Insured' as follows: Halton District School Board Halton Catholic District School Board
Providing own insurance?	Yes No *
Purchasing insurance through the Town?	Yes No *

All groups are required to carry liability insurance in the amount of $2 million dollars. If you do not already have coverage you can purchase insurance through the Town at a reasonable rate. Please note that the insurance purchased from the Town is only valid for activities that occur at approved Municipal or School Board property. If your group does have liability insurance coverage, we require a copy of the certificate, which must specify the following:

$2 million dollars liability insurance coverage per occurrence.
Names ‘The Corporation of the Town of Halton Hills' and appropriate school board where applicable as ‘Additional Insured' as follows:
1. Halton District School Board
2. Halton Catholic District School Board

Providing own insurance?

Yes No *

Purchasing insurance through the Town?

Yes No *

* If you require a hard copy please print this page before submitting a booking request.
* An email of your request will be sent to you.

* Are required fields in order to submit your booking request.

Please Note: This is not a Permit. It is a Request Form only. You will be notified as soon as possible as to the availability of your request by Recreation and Parks. Please see Facility Permit Regulations/Conditions for Community use of Facilities.

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