Facility Rental Request Form

Please note: The fields marked * are mandatory.

Applicant Information

Name (Last, First)*

Please enter the required information.

Address*

Please enter the required information.

City*

Please enter the required information.

Province*

Please enter the required information.

Postal Code*

Please enter a valid postal code

Phone Number*

Please enter a valid phone number

Email Address*

Please enter a valid email

Rental Request Details

Expected Attendance

Please enter the required information.

Preferred Location*

Please enter the required information.

Specific Area

Please enter the required information.

Alternate Location

Please enter the required information.

Alternate Specified Area

Please enter the required information.

Rental Type*

Please enter the required information.

Please specify if Other

Please enter the required information.

Does your rental include alcohol?*Yes
No

Please enter the required information.

Does your rental include an amusement device or inflatable?*Yes
No

Please enter the required information.

Preferred Start Date*

Please enter the required information.

Preferred End Date*

Please enter the required information.

Frequency*

Please enter the required information.

Preferred Start Time*

Please enter the required information.

Preferred End Time*

Please enter the required information.

Exclusion Dates

Please enter the required information.

Alternate Start Date

Please enter the required information.

Alternate End Date

Please enter the required information.

Alternate Start Time

Please enter the required information.

Alternate End Time

Please enter the required information.

Liability Insurance

I understand that, in order for my rental to be considered, the Rental Agreement Holder is required to hold a third party liability certificate of insurance naming the City of Brampton' as an additional insured with a minimum of $5,000,000 coverage. Facility user liability insurance coverage will be required to be in place, by way of either:

Purchasing the applicable liability insurance through the City of Brampton during the booking process; or
Obtaining sufficient liability insurance coverage that is equivalent to the City's liability insurance requirements.

Liability Insurance*I agree.

Please enter the required information.

Disclaimer

I understand that, this is a request form only; availability is subject to change based on rental requests currently being processed. I have no rights or claims to the requested space until such time as I receive a tentative Rental Agreement for my acknowledgment and verification of the rental details.

Incomplete forms and/or requests received less than 4 weeks in advance may not be considered.

Disclaimer*I agree.

Please enter the required information.

*Please type the letters appearing in the image above. Why do I need to do this?

Please type the letters appearing in the image above.

Submit Reset Cancel Print

Privacy Statement

The personal information on this form is collected under authority of the Municipal Act SO 2001, c. 25. The information will be used to communicate with you regarding your recreation user account.

​​​​​​​​​​​Contact Information

Privacy Statement

Contact Information