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: Summer 2021
Parks & Picnic Areas
Organizational Profile: Deadline Date: December 14, 2020
Organization’s Name
¨ Minor ¨ Adult ¨ Commercial
Main Contact Secondary Contact
E-Mail Address
Address
City
( ) ( )
E-Mail Address
( )
Business Phone No.
( )
Cell Phone No.
( )
Bus. Phone No. Home Phone No. Home Phone No.
Players/Membership List including full addresses & phone numbers for all groups (youth groups require birth dates) must
be submitted before requests can be considered.
Intended Use: ¨Expected Attendance
¨ Picnic ¨ School Event ¨ Other (Please specify):
¨ Layout drawing desired & included
First Choice: Location Day(s)
Dates (M
From
M/DD/YY)
To
Dates (M
From
M/DD/YY)
To
Second Choice: Location Day(s)
Dates (M
From
M/DD/YY)
To
Dates (M
From
M/DD/YY)
To
Services-In-Kind Equipment: (If applicable)
Equipment
Quantity
City will confirm
Specific Location Notes & Special Instructions
Chairs (Folding)
Garbage Containers
Generator
Recycling Toters
Sound System
Speaker w/ stand
Wireless microphone w/ stand
Fixed Stage (8x16 or 16x16)
Mobile Stage
Tables (Folding)
Tables (Picnic)
Washroom – Handicap
Washroom – Regular
Tent (20x20)
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 au-
thority 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 & Culture Department files where applicable. Questions regarding this collection may be directed to the Director of Recreation & Culture, 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.
Note: Accounts must be in good standing in order to be eligible for a rental contract.
Applicant’s Signature (Min. age 18 years of age): Date:
FOR OFFICE USE ONLY: Date Received: RC#
CITY OF VAUGHAN • 2141 MAJOR MACKENZIE DRIVE • VAUGHAN, ONTARIO L6A 1T1 • T. 905.832.8500 • F. 905.832.8550 • W: vaughan.ca
