Use of Facilities - Rental Application - PONTIAC SCHOOL

Please complete the form below. Required fields marked with an asterisk *

Name of Organization:*

Answer required for "Name of Organization:"

Mailing Address:*

Answer required for "Mailing Address:"

Contact Person:*

Answer required for "Contact Person:"

Contact Person Phone Number:*

Answer required for "Contact Person Phone Number:"

Contact Person Email Address:*

Answer required for "Contact Person Email Address:"

Date of Application:*

Answer required for "Date of Application:"

Booking Start Date:*

Answer required for "Booking Start Date:"

Booking End Date:*

Answer required for "Booking End Date:"

Booking Start Time:*

Answer required for "Booking Start Time:"

Booking End Time:*

Answer required for "Booking End Time:"

Reason for Booking:*

Answer required for "Reason for Booking:"

Estimated # of people attending:*

Answer required for "Estimated # of people attending:"

Requested use of Wiikwemkoong Pontiac School Area:*

Answer required for "Requested use of Wiikwemkoong Pontiac School Area:"

Gymnasium

Optional with Gym: PA System

Optional with Gym: Kitchen

Classroom(s) - Room number to be provided at a later date

How many chairs do you need?*

Answer required for "How many chairs do you need?"

How many tables do you need?*

Answer required for "How many tables do you need?"

Extras:*

Answer required for "Extras:"

Volleyball Nets

Badminton Nets

Basketball Nets

Floor Mats

Wifi Access

Other:

I acknowledge and agree to clean up and leave the kitchen (if used) in a clean and orderly condition.*

Answer required for "I acknowledge and agree to clean up and leave the kitchen (if used) in a clean and orderly condition."

Yes

I acknowledge and agree to complete all necessary set up required for my scheduled activities.*

Answer required for "I acknowledge and agree to complete all necessary set up required for my scheduled activities."

Yes

I acknowledge that only approved items listed on this form will be provided and that I am responsible for supplying any additional equipment required. (eg. balls, rackets, laptop & projector)*

Answer required for "I acknowledge that only approved items listed on this form will be provided and that I am responsible for supplying any additional equipment required. (eg. balls, rackets, laptop & projector)"

Yes

Please fix the highlighted areas below before submitting.

Use of Facilities - Rental Application - PONTIAC SCHOOL