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Event Request Form

APPLICANT INFORMATION
Contact Name: (*)

Please enter you name *Contact name is required.		 Organization:

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Phone:

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Mailing Address:

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Email: (*)

Please enter your email address. *Email address is required.		 Date of the event:(*)

Please enter date of the event *Date of the event is required.
Start Time:(*)
Please enter start time Start time is required.		 End Time:(*)
Please enter end time *End time is required.
Number of Attendees:

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Type of Organization

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Purpose of the Event:

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FACILITY REQUIRED






Facility Options (Please check)
Gymnasium
Option 1. Gymnasium One Gym with Divider


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Option 2. Gymnasium Both Gyms without Divider


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Option 3. Gymnasium $500 setup/tear down fee (for events utilizing tables & chairs)


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Alex Campbell Turf Field
Field is subject to close to due extreme weather


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Multipurpose /Classroom
Option 1. Multipurpose /Classroom - Full without Divider


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Option 2. Multipurpose /Classroom - Half with Divider
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Movement Studio



Other please list

ADDITIONAL SERVICES - Additional Fees will apply

Additional Needs

Please check
Catering
Please visit Geffen Catering’s website for Menu and Catering options: Website: www.geffencatering.ca Telephone number: 250.391.3916 Email: info@geffencatering.ca
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Cleaning Fee
For events with food & drink a cleaning fee will be applied
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Audio Visual Equipment
Audio/ Visual Equipment- Access to internet and projector but facility renters will need to provide own laptop.
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How many Tables
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How many Chairs
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$20/hr per parking attendant # of attendants required
Please ensure that the patrons of your event understand that the parking lot is a paid parking Monday to Friday and they will need to buy a ticket from the machine. Patrons must park on the south end of the parking lot 8 across the yellow PISE line.
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Security
Client may be required to hire PISE Security Guards for an event depending on size, scope and activity at the discretion of PISE. Rates- Apply to Internal, Not for Profit and Commercial events • $20 per hour for straight time (4 hour minimum) • $30 per hour for stat/overtime (4 hour minimum) • Overtime rates come into effect after 8 hours 1 additional guard for every 100 persons



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Room Set-up Fees
All rooms are set up in a specific manner if the Users wishes to have a different layout arranged for them then a set up fee will be applied. All Users are required to return the room to the original manner unless arranged otherwise with PISE management. If the rooms are not returned in proper condition then a strike down fee will be applied. Please review Appendix B for set up/ take down charges. CLASSROOMS: • Should have three rows of tables with thirteen to fourteen chairs per row. • There should be 40 chairs in total in the classroom. • Spare tables and chairs may be stored in the storage closet please see front desk staff on level one for the key. Please include detailed instructions if you wish to have a room arranged for you a set up fee will be applied if you choose this option.
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Payment Options
*All Facility Users are required to provide credit card information for all bookings please phone 250-220-2504.




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Comments


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