Recreation Services
Facility Request: Summer 2021
Facilities are allocated
utilizing the Fair Play
Facility Allocation Policy.
INSTRUCTIONS:
1) To complete form electronically,
click “Fill & Sign.”
2) Fill in form by clicking the cursor
where you want to type.
3) Save a copy for your records and
email a copy to:
RecCSD@vaughan.ca
or fax form to: 905-832-8550.
Organizational Profile: Deadline Date: December 14, 2020
Organization’s Name
¨ Minor ¨ Adult ¨ Commercial
Main Contact Secondary Contact
E-Mail Address E-Mail Address
Address Address
City
( ) ( )
City
( ) ( )
Bus. Phone No. Home Phone No.
Intended Use:
¨ Sports Fields ¨ Tennis Courts ¨ July/August:
¨ Artificial Soccer Field (March 1 - November 30)
Separate forms are required for each facility type requested.
Bus. Phone No. Home Phone No.
¨ Activity Rooms ¨ Bocce Courts ¨ Gyms ¨ Halls
¨ Arena Floor (Ice Out)
First Choice: Location Day(s)
Dates (MM/DD/YY)
From To
Times (HH/MM, A/P)
From To
Second Choice: Location Day(s)
Dates (MM/DD/YY)
From To
Times (HH/MM, A/P)
From To
Tournament: Location Day(s)
Dates (MM/DD/YY)
From To
Times (HH/MM, A/P)
From To
This form may contain personal information as defined under the Municipal Freedom of Information & Protection of Privacy Act. This information is collected under the legal authority
of the Municipal Act, 2001, S.O. 2001 c.25, as amended. This information will be used by the City of Vaughan for the purpose of, mailings and the rental of City facilities and will
become part of Recreation Services files where applicable. Questions regarding this collection may be directed to the Director of Recreation Services, City of Vaughan, 2141 Major
Mackenzie Drive, Vaughan, Ontario L6A 1T1, 905.832.8500.
I hereby request use of the above location(s) on the dates and times shown. As part of the consideration for the City of Vaughan renting the above noted facilities to me/us, I, on behalf
of myself, the renting organization and its members agree to release and discharge, and to indemnify and save harmless the Municipality from and against all claims and proceedings,
by whom/whoever made or brought, in respect of any cost, losses, damage or injury arising by reason of my/our use of the rental facilities.
I have read and understood the Rental Contract Conditions & Regulations and agree to abide by these conditions for all of the dates/times issued by this request.
Applicant’s Signature (Min. age 18 years of age): Date:
FOR OFFICE USE ONLY: Date Received: R.C.#
CITY OF VAUGHAN • 2141 MAJOR MACKENZIE DRIVE • VAUGHAN, ONTARIO L6A 1T1 • T. 905.832.8500 • F. 905.832.8550 • W: vaughan.ca
