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Town of LBMCOC
Facility Rental Request
Updated April 2024
*Please note that your rental request is not confirmed until you receive a confirmation email from the Town Office.
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* Indicates required question
I have fully read and understood the terms and conditions of the Facility Rental Agreement.
*
Yes
No
Digital Signature of Renter:
(Please type your name to acknowledge you have read and understood the terms and conditions of the Facility Rental Agreement)
If you need to review the Facilities Rental Agreement again, please view it here:
www.lbmcoc.ca/recreation-and-leisure-services/facility-rental-request
*
Your answer
Today's Date:
*
MM
/
DD
/
YYYY
Renter's Name:
(First and Last)
*
Your answer
Name of Group or Association:
(if applicable)
Your answer
Renter's Email:
*
Your answer
Renter's Phone Number
*
Your answer
Date Requested:
(If you are requiring more than one date, please chose the first date of your request)
**Please note that our facilities (Upper Level, Lower Level, and all Sports Fields) are not available for private rentals from June 15 to September 15 of each year)
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MM
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DD
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YYYY
Time requested:
(Please state the actual rental time. The Town allows the renter 1 hour before and after the approved times for set up and clean up. If you require more time, please indicate below and staff will advise if extra time can be approved).
*
Your answer
Type of Rental:
*
One Time Rental
Recurring Rental
Please describe the frequency your request:
*
One Time Rental
Weekend Rental
Daily
Weekly
By-weekly
Monthly
If you are requesting a recurring rental, please provide the end date of your request:
*
MM
/
DD
/
YYYY
Facility Requested:
*
Justina Center - Upper Level
Justina Center - Lower Level
Kelly Park - Softball Field
Kelly Park - Soccer Field
Required
Type of Activity/Rental Taking Place:
*
Child Party
Adult Party
Sports Event
Entertainment/Concert
Day Rental (meetings, conventions, conferences, etc.)
If requesting the Justina Centre - Upper Level, do you require Bar Service?
*
Yes
No
Not Applicable to my Request
Any further questions or comments regarding your rental request:
Your answer
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