Please specify the name of the person responsible for facility rental. It must be the name of an individual.

This field is optional. Only fill it in if you are completing this form on behalf of an organization/ company.

The address of the renter (individual) or organization/ company.

The city of the renter (individual) or organization/ company.

The province of the renter (individual) or organization/ company.

The postal code of the renter (individual) or organization/ company.

Please provide the phone number where the renter can be reached.

This is a mandatory field. Any certificates or correspondence will be issued to this email address.

This is an optional field. Please specify any additional parties you would like to include in the coverage. (eg. community league association)

Please specify the type of function this will be (eg: wedding reception, birthday party, company function, etc.)

Please specify the name of the facility where the event is being held.

Please specify the exact address of the facility where the event is being held.

Please specify the exact date of the function. For multi-day functions, please call 780-489-4961 (or toll free at 1-800-668-3213) for quote.

Please specify the number of guests to be in attendance. For functions over 1000 guests, please call 780-489-4961 (or toll free at 1-800-668-3213).

Note: For Functions over 1000 guests, please call 780-489-4961 for a quotation.

Please indicate an approximate start time for the function.

Please indicate an approximate end time for the function.

Note: If function runs more than one day, please call 780-489-4961 for a quotation.

Please specify whether alcohol will be served.

As per the Alberta Gaming and Liquor Commission, a liquor license permit must be in place and match the information provided in this application.

Please type your name here. This constitutes a digital signature of this document.

Date signed.