Required fields are marked with asterisks (*)

Facility Booking Form

Name of Applicant

Email Address

Mailing Address

Phone Number

Date of Event

Event Type

Start Time

End Time

Number of Guests

Number of tables and chairs

By signing you are agreeing that you are responsible for the set-up and tear-down of all tables, chairs, and equipment used at the event

Clear

Is this event a liquor function?

Yes

Bartender names and Smart Serve numbers.

Please check the applicable services for your rental

Community Centre Kitchen $170.00 + HST

Early Set up Fee (after 4pm day before) $75.00 + HST

SOCAN Dancing 1-100 Guests $44.13 + HST

SOCAN Dancing 101-300 Guests $63.49 + HST

SOCAN No Dancing 1-100 Guests $22.06 + HST

SOCAN No Dancing 101-300 Guests $31.72 + HST

If you require use of the kitchen, have you obtained a Food Permit from Algoma Public Health?

Yes

If you answered YES, please provide a copy of the Food Permit for our records.

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

If you answered NO, a Food Permit must be obtained from Algoma Public Health before access to the kitchen is provided. Please sign as proof that a permit will be obtained and proof provided.

Clear

Is your event Catered? A food permit must be provided by your caterer prior to the event(you will not require a separate permit if your caterer has one).

Yes

Insurance: HST Exempt $2,000,000.00 limits in liability for Town-approved events.
$4,000,000.00 limit in liability required minimum for excluded events. Proof must be attached prior to key release

NO-ALCOHOL WITH ALCOHOL

1-50 GUESTS $3/HR OR $25/DAY $12/HR OR $85/DAY

51-100 GUESTS $4/HR OR $50/DAY $20/HR OR $130/DAY

101-200 GUESTS $6/HR OR $75/DAY $30/HR OR $200/DAY

201-500 GUESTS $8/HR OR $150/DAY $40/HR OR $350/DAY

VENUE: $__________ SOCAN: $_________ HST: $__________

INSURANCE: $__________ SUBTOTAL:$_________ DEPOSIT: $__________

BALANCE DUE: $__________

$100 NON-REFUNDABLE DEPOSIT IS DUE TO SECURE BOOKING/BALANCE DUE FOR KEY RELEASE

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