Rental Form

Name of Group *

Email Address

Name of Contact Person *

Address of Contact Person *

Phone number of Contact Person *

Name of Event Coordinators *

Phone number of Event Coordinators *

Date of Use *

Purpose *

Setup begins at *

Event starts at *

Event ends at *

Clean up will be completed by *

Serve Liquor *

Estimated number of attendants *

A free, one-year “Single” membership of Cecil Community Centre is included in the costs. Kindly provide the name of the individual who will hold the membership, and other information as follows:
Name: *

Occupation (optional)

Address & Phone No. (if not same as above)

Program Interests: *

Are you a Cecil Volunteer? *

Age Range: *

I, as an authorized agent, hereby agree to abide by the regulations set out in our terms of agreement. I agree to indemnify Cecil Community Centre against all damages to the premises, facilities, furniture and equipment during our possession thereof. *