Rental Form | Vraj Canada

General Information:

First Name: *

Are You making this request on behalf
of an organization? (Yes/No):*
YesNo

Phone Number (Primary):*

E-mail: *

Apartment:

Street Name:

Province:

Last Name: *

Have you rented from Vraj Canada Community
Centre before? (Yes/No):
YesNo

Phone Number (Secondary):

Best method of contact:

Street Number:

City:

Postal Code:

Organization Details:

Name: *

Phone:*

Address:*

Province:

E-mail:*

City:

Postal Code:

Rental Information:

Description:*
Please provide a description of the activities that will take place during your event.

Preferred Start Time:

Expected Attendance:

Preferred End Time:

Age Range of Attendees:

Insurance Requirements:*

All users are required to obtain and maintain insurance coverage in the amount of $2,000,000 for public and general commercial liability insurance, and must name Vraj Canada Community Centre as additional insured.

Special Requirements/Comments:
Please provide any special requirements or comments.

How did you hear about our venues?

*Questions about this collection should be directed to the Manager, Customer Service Centre, 16903 Hurontario Street, Caledon, Ontario, telephone 905-615-3200, ext. 5037.

Date:

Participants Name:

Participants’ Signature:

Date:

Official VCS Authority Name:

Official VCS Authority Signature:

I agree that my data is used according to the Terms and Conditions.