500 Stephen Rental Form

This form, once completed, will be sent to our Booking team to verify the reservation. Once verified, a team member will reach out to you for confirmation.

If you haven't done so, make sure you have checked availability of the space you want at our Booking page of 500stephen.ca

500 Stephen will follow Manitoba Public Health protocols as they are outlined by the Province of Manitoba.

500 Stephen is not a sponsor and will not endorse activities carried out by any rental groups. As such, 500 Stephen will not assume any responsibility for activities that occur within the Community Centre.

500 Stephen can, at the discretion of any party that has responsibility for the Community Centre, cancel any booking for any reason.
Rental Group
Contact Person*
Phone*
Format: (000) 000-0000.
Name of Group*
Mailing Address
E mail*
example@example.com
Booking Details
Date of Booking*

MonthDayYear
Date
Date required*

MonthDayYear
Date
(Rentals must be completed by 10:00 pm. - unless by previous arrangement)
Descriptive details of event*
Please provide more details here.
Large Front RoomBoard RoomEmpty Board RoomOffice Space
*All groups in the building have access to accessible washroom facilities.

*No other area of the building except those assigned may be used.
WifiTV (on movable cart)Sound System
I have received a copy of the rental policies and procedures and agree to the conditions listed.
Signature of Applicant*

Clear
Printed Name*
Date

MonthDayYear
Date
Fees
A. Non Profit or Community Organizations: No fee or deposit. See room descriptions below.

B. For-Profit Public Serving Groups:
- Large Front Room (up to 4 hrs - $50 / Full Day - $100) Approximately 1000 sq. ft.
  - Includes coffee bar (donation for coffee use, or bring your own supplies).
  - Includes self serve water cooler.
  - Casual sitting area, up to 20 stacking chairs, 4 conversation stations with two chairs each.
- Board room (up to 4 hrs - $25 / Full Day - $50)
  - Approximately 270 sq. ft.
  - Board room table and chairs.
- Private Office Space (up to 4 hours - $25 / Full Day - $50)
  - Approximately 110 sq. ft.
  - Desk and chair, additional chair(s) and side table.
  - Regular users of this space can request locking file storage.
Payment is to be made at time of booking. Visit our website for payment information using Debit/Credit or PayPal. If paying by cheque, please make cheques payable to Westside Community Church (with 500 Stephen rental in subject line) and bring to the 500 Stephen Street Community Centre.

Please give 7 days notice of cancellation for refund of fee.

Note: Our fee/deposit structure will be re-evaluated in June 2022.

A completed rental agreement and payment (if applicable) must be received before the rental will be booked at the facility.

Signature (agreement with Rental Policies and Procedures)*

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Printed Name (agreement with Rental Policies and Procedures)

First NameLast Name

ALL SECTIONS BELOW ARE FOR OFFICE USE ONLY

Press Submit Below
Signature

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Date Approved

MonthDayYear
Date
Deposit/Fee Collected Date

MonthDayYear
Date
Deposit Returned Date

MonthDayYear
Date
Comments
Should be Empty:

Rental Group

Booking Details

Fees

ALL SECTIONS BELOW ARE FOR OFFICE USE ONLY