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Search for:
CJMC-Booking-Form
If you would prefer to open a printable PDF of this form,
click here
.
BOOKING REQUEST
Date of Application :
MM slash DD slash YYYY
Event Coordinator:
Event Name:
First
Address (of applicant or organization):
Email:
Phone:
Alt Phone:
Event Details: if your event exceeds your stated end time, you may be subject to penalty fees. These fees will be deducted from your damage deposit.
Number of Attendees
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Start Time:
Hours
:
Minutes
AM
PM
AM/PM
End Time:
Hours
:
Minutes
AM
PM
AM/PM
Alternate Dates:
In the event that the facility is not available on your requested date, please indicate second and third choice for booking dates
Second Choice :
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Third Choice :
Start Date:
MM slash DD slash YYYY
End Date:
MM slash DD slash YYYY
Facility Details
Main Gymnasium
Takaya Room (West)
Eslha7an Room (East)
Bus Transportation
Kitchen Access
Xwmėlch’sten (Capilano Field)
Lacrosse Box
Other
Other Services and Support Options
IT / Tech Support
Projector / Screen
PA System – Wireless Mics
On-site Tech Support & Set up
Podium
Options
Table Plastic Cloths
Cross (Funerals)
Coffee / Tea Service
Dividers Picture Display isles (5)
Wifi SNwireless (ask reception for password)
Mandatory Date and time of test trial:
MM slash DD slash YYYY
Contact Name:
For slide shows please make time to test trial before the Prayer / Funeral Service. Please makes sure to have HDMI cords etc
Contact Number:
MANDATORY FIRST AID REQUIREMENT
Level 2 First Aid minimum mandatory for all facility bookings (100 + people)
Name :
First
Phone Number:
Email :
TRANSPORTATION (Department Events ONLY)
North Vancouver Pick Up Schedule
Seymour IR Mailboxes:
Jacobs & Jacobs:
Mathias Road:
Eslha7an LC:
Mission Road & 1st Street:
Ikwikws Road:
Reminder Pick up Schedule should be hour prior to the start time of the Event.
Name of Bus Driver:
First
Contact Number:
Event Details
Set up date:
MM slash DD slash YYYY
Set up time:
Hours
:
Minutes
AM
PM
AM/PM
Absoulutely No Confetti of any kind this Damages the Floor
Name of Rental Company:
First
Contact Number:
Rental Drop off @ Facility:
Date:
MM slash DD slash YYYY
Time :
Hours
:
Minutes
AM
PM
AM/PM
Rental Pick up @ Facility:
Date:
MM slash DD slash YYYY
Time:
Hours
:
Minutes
AM
PM
AM/PM
Additional Notes:
Catering
Name of Caterer or Business:
First
Contact Number:
Date of Kitchen Access:
MM slash DD slash YYYY
Time:
Hours
:
Minutes
AM
PM
AM/PM
Provide Certificates:
Food Safe
Red Seal
Additional Notes/Reminders:
Δ