2018Regular Season
Sports Field and Outdoor Facility
REQUEST FORM
Please fill in the following for your 2018Regular Season Sports Field and Outdoor Facility request and submit by Friday,January 12, 2018 to:
PublicServices –Recreation Support Services,c/o City Hall, 1Carden St. Guelph, ON N1H 3A1
Email: Fax: 519-822-5569
APPLICANT INFORMATION
Name of Organization/Group:Main Contact Person: / Email:
Mailing Address:
Bus Phone: / Mobile: / Fax:
Alternate Contact Person: / Email:
Is your organization:Youth ____Adult _____ / Are you a Guelph based group (more than 80% Guelph Residents)? YES NO
Please check:League ______Team ______Individual ______
If League selected above, please provide number of teams: ______
# of Participants:
Provision of Insurance: Providing Own _____ Purchasing through City _____
REQUEST DETAILS
Booking Dates (Incl. Month and Date) / Times * / Used Last Year?Facility Requested / Day of Week / Start Date / End Date / Start Time / End Time / Yes / No
*To allow for maximum facility usage, two booking time slots are scheduled for lighted facilities per evening: 6:00-8:30pm, 8:30-11:00pm. Bookings on non-lighted facilities must conclude by dusk.Successful applicants will be sent a Facility Rental Contract that must be signed and returned to the address above before the facility can be used. Please allow at least four weeks for processing of request.
Personal information, as defined by the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA) is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA. Personal information collected on this form will be used for the purpose of the administration of a special event at a City of Guelph and/or at a City of Guelph facility.If you have questions about the collection; use, and disclosure of this information, contact the City of Guelph’s Program Manager, Information, Privacy and Elections at 519-822-1260 x 2349 or .