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Rental Request
CÉGEP Heritage College
Community
Greater Public
Application for Use of College Facilities
Section 1 General Information
For Use By:
*
Organization
Individual
Heritage College Employee
Organization / Individual Name:
*
Event Description:
*
Contact Name:
*
Alternative Contact:
Contact Phone Number:
*
Alternative Phone Number:
Email:
*
Alternative email:
Address:
City:
Postal Code:
Start Date:
Start Time: 00:00
End Date:
End Time: 00:00
Specify Frequency:
Space Required:
Classroom
Meeting Room
External field
Auditorium
Gymnasium
Multiple
Other
Other (specify):
Section 2: Event/Use
How many attendees are expected?
Number of seats required?
Equipment Required:
Overhead Projector
LCD
Podium
Microphone
Other
Other (specify):
Services Requested:
Food Services (If checked contact Food Services directly)
AV Services
IT Services
AV Services (specify)
IT Services (specify)
Specify Room Configurations:
Specify Room Configurations: attach a diagram/sketch if necessary.
Section 3: Facilities Use Risk Assessment
Activity Details: What type(s) of event(s) or use are you planning?
(A) Does the activity have the potential to result in injury to participants or cause damage to physical space?
Y
N
(B) Does the area being used contain material or equipment that requires special precautions such as PPE?
Y
N
(C) Does the Activity involve the serving of alcohol?
Y
N
(D) Does the activity involve minors?
Y
N
(E) Will the event be a large assembly with 100 or more people attending?
Y
N
Have you previously booked Heritage Facilities?
*
Y
N
Year / Month of last booking:
I, as applicant, acknowledge that this is a request for use and that a Confirmation of the Reservation is required before bookings can be
confirmed. For external clients, 50% deposit is required at the time of booking.
Signature:
Date
Don't fill this field!
Effective Date January 1, 2024
