Township Of North Frontenac Community Hall Rental Agreement Form - Plevna, Ontario
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4SCHEDULE “A” TO BY-LAW #26-08 – PAGE 1 OF 4
P.O. BOX 97, PLEVNA, ON K0H 2M0
(613) 479-2231 OR 1-800-234-3953
FAX (613) 479-2352
Community Hall Rental Agreement
Between the Township of North Frontenac and the Applicant(s)
Applicant Information:
Name (individual/organization)________________________________________
Contact Name_____________________________________________________
Address____________________________________ Postal Code ___________
Phone # (
)_____________________________
Hall to be rented___________________________________________________
Purpose of rental___________________________________________________
Rental Date _________________________ Time: ________________________
(Includes set-up and clean-up)
Rental Fee $___________________ Security Deposit $____________________
(Liquor Events – Mandatory)
(Other Events – decision of the Township Representative)
Liquor License Approval #
(if applicable)
(ANY event on Municipal property where liquor is served MUST have a special occasion permit and
appropriate insurance.)
Name of Insurance Company
Policy #
Telephone #
Number of people expected_____________________
I/We have read and understand the rules and regulations of the Township of
North Frontenac pertaining to the rental of the above noted Community Hall, and
I/we agree to abide by them. I/we further agree to exercise the utmost care in the
use of the facilities and to reimburse the cost of repairing any damage arising
from our occupancy.
Signature
Print Name
Date
Approved by the Township of North
Print Name
Date
Frontenac Representative –
Appointed By Council
$
$
Rental Fee Paid
Security Deposit
Receipt #
Fee Paid
(if applicable)
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