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519-273-3876

Rental Application

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

The Kitchen (Commercial)

The Grounds

Basement Common Area

START (Date & Time)

Year

Month

Day

Time

END (Date & Time)

Year

Month

Day

Time

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 require accessible access to the building?

Yes

Do you have insurance for the event? *

Yes

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

Yes

Is the event open to the public?*

Yes

Will food be served?

Yes

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.

Please upload any seating plan or layout details for your event including tables, chairs and equipment. You may submit a PDF rendering, or hand drawn image files.

Setup notes

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

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.

LEARNING & UN-LEARNING

The Falstaff Family Centre is located in Stratford, Ontario on territory governed by A Dish with One Spoon Wampum Belt Covenant (1701) and Huron Tract, Treaty #29 (1827). It is the treaty territory of the Haudenosaunee Confederacy and Anishinaabe. We are committed to learning (and unlearning), awareness, inclusivity, as well as an understanding and acknowledgment of the impact of colonialism.

The Falstaff Family Centre

35 Waterloo Street North

Stratford, Ontario, N5A 5H6

Phone: 519-273-3876

Email: info@falstaff.ca

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