83 Church St., St. Catharines, ON L2R 3C7

Ph: 905-682-9232 Fx: 866 333 6092


XMultiple Event Booking

Single Event Booking - Alcohol to be Served

 Single Event Booking - No Alcohol to be Served

Date Required: ______Type of Function:

Time Required From ______To: ______

User Group Name: ______

Number Attending: ______

Name (Person Responsible):______

Telephone No: ______Postal Code: ______

Email Address: ______


Name(s) of Hall(s) Amount


Total Rental Fee $ Monthly

Fee to Paid

I agree to comply fully with the St. George’s Anglican Church Hall Rental Conditions attached hereto, to furnish the required permits and to accept full responsibility as stated above and therein.

  • I agree that the room(s) must be left in the condition it was found in. All coffee cups, litter etc. Must be placed in the garbage and the lights turned out when the group is finished.
  • It is imperative that all doors are locked. If at any time you have problems locking the building, call the office, 905 682 9232. The message will tell you who can assist you in the event that you are having a problem securing the building.
  • Keys to be returned to the Church Office when finished with. They are NOT TO BE PASSED FROM PERSON TO PERSON.

Signature: X Date: X _____

Name and Title: X ______

Signature: Date: ______

Accepted on Behalf of St. George’s Church

X Certificate of Insurance N/A

X Hold Harmless Agreement N/A

(Office Forms\Hall Rental)



St. George’s Anglican Church, St. Catharines, Ontario


The Synod of the Diocese of Niagara, Hamilton, Ontario


The Bishop of Niagara


The Anglican Church of Canada


Name of Participant or User Group:

Type of Activity:

I/we, the undersigned, on behalf of St. George’s AA Group both during and following the term of this agreement, undertake to indemnify and save harmless the Synod of the Diocese of Niagara, the Bishop of Niagara, the Anglican Church of Canada and the parish of St. George’s Anglican Church from and against any and all loss, cost, damages, expense and liability (statutory and common law) in connection with the injury or death of any person or any property or other damage sustained by the Synod of the Diocese of Niagara, or the Bishop of Niagara, or the Anglican Church of Canada or the parish of St. George’s Anglican Church, its directors, officers, employees, agent or volunteers, which may arise out of my/our use of the church property.

I/we also undertake to conduct my/our activities in a safe and careful manner and I/we assume full responsibility for the conduct of my/our students/employees/members/volunteers and for their safety.

It is understood that the church does not assume any responsibility for loss of or damage to (a) any vehicle (b) anything in or about the vehicle however such loss or damage may be caused.

Duration/time frame/dates of validity of this agreement:

Additional Comments:


. ______


Signature: X Date Signed: ______

Name and Title: X ______



Accepted on behalf of St. George’s Anglican Church

Signature: ______Date ______

Office Forms\Hold Harmless