INSTRUCTIONS:
1) To complete form electronically,
click “Fill & Sign”.
2) Fill in form by clicking the cursor
Recreation Services
where you want to type.
Facilities are allocated
utilizing the Fair Play
Facility Allocation Policy.
3) Save a copy for your records and
email a copy to:
Reccsd@vaughan.ca
or fax form to: 905-832-8550.
Facility Request:
Fall, Winter, Spring 2021/2022
Organizational Profile: Deadline Date: March 1, 2021
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. Bus. Phone No. Home Phone No.
NOTE: Accounts must be in good standing and a Players/Membership list, including full addresses and phone numbers for all groups (youth groups also require birthdates) must
be submitted before requests can be considered.
Intended Use:
¨ Activity Rooms ¨ Arena (Ice In) ¨ Gyms ¨ Halls ¨ Indoor Bocce Courts ¨ Indoor Cricket Practice Net
Separate forms are required for each facility type requested.
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 Department 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
