Haliburton Legion - Facility Rental Form

Type of Event (Wedding, Meeting, etc.)*

Number of people attending the event*

Event Start Date*

Date

Event Start Time*

Hour Minutes

AM/PM Option

Event End Date*

Date

Event End Time*

Hour Minutes

AM/PM Option

Setup Date*

Date

Setup Time*

Hour Minutes

AM/PM Option

Renter Organization Name (if not applicable, put N/A)*

Renter First Name*

Renter Last Name*

Renter Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Renter Email*

example@example.com

Renter Phone Number*

Please enter a valid phone number.

Do you have your own caterer or will you be using the Ladies Auxiliary?*

I have my own catererI will be using the Ladies AuxiliaryI do not need a caterer

Caterer Organization Name (if not applicable, put N/A)*

Caterer First Name*

Caterer Last Name*

Caterer Phone Number*

Please enter a valid phone number.

Caterer Email*

example@example.com

Do you have a decorator?*

YesNo

Decorator First Name*

Decorator Last Name*

Decorator Phone Number*

Please enter a valid phone number.

Decorator Email*

example@example.com

Will you have a band or DJ?*

BandDJNone

Band or DJ Name*

Band or DJ Phone*

Please enter a valid phone number.

Band or DJ Email*

example@example.com

Will you be supplying your own wine? Corkage fees apply ($18 per bottle)*

YesNo

Corkage Fees: Please input the # of red and/or # of white wine bottles you will be supplying*

	# of bottles	Total
Red Wine
White Wine
Total

Are you renting the Kitchen or Kitchen Supplies?*

YesNo

Kitchen: Please input the # of days you require the Kitchen and any other items listed below.*

	# of Days	Fee Per Day	Total
Total use of Kitchen
Dishes, cutlery, dishwasher only
Kitchen counters, coffee/tea urns, fridge only
Total

Kitchen Total (Used in Discount Calculation)

Are you renting the Mountbatten Room?*

YesNo

Mountbatten Room: Please input the # of days or # of hours you would like to rent this room.*

	# of Days/Hours	Fee Per Day/Hours	Total
Daily Rental
Hourly Rental
Total

Mountbatten Room Total - Room-Only (Used in Discount Calculation)

Are you renting the Schofield Room?*

YesNo

Schofield Room: Please input the # of days or # of hours you would like to rent this room*

	# of Days/Hours	Fee Per Day/Hours	Total
Daily Rental
Hourly Rental
Total

Schofield Room - Room-Only (Used in Discount Calculation)

Are you renting the Club Room?*

YesNo

Club Room: Please input the # of days you would like to rent the Clubroom and any other items below*

	# of Days	Fee Per Day	Total
Mon-Thurs (Daily Rate)
Friday (Daily Rate)
Saturday (Daily Rate)
Total

Club Room - Room-Only (Used in Discount Calculation)

Are you renting the Remembrance Hall (Main Hall)?*

YesNo

Will you be providing your own seating layout or selecting an option from the Legion?*

I will be using my own seating layoutI will be selecting a seating layout option from the Legion

Please upload an image, PDF or word document of your seating layout*

File types supported: pdf, doc, docx, jpg, jpeg, png, gif

Please select a seating layout option provided by the Legion. Visit our Facility Rental page to see the seating layout options.*

Setup and Clean Up*

I will be responsible for setup and clean upI want the Legion to be responsible for setup and clean up (+ $100)

Remembrance Hall: Please input the # of days your event is on for each day of the week/weekend (Mon-Thurs, Friday and/or Saturday). If you would like to rent by the hour, please input the # of hours in the "Mon-Thurs (Hourly Rate) field.*

	# of Hrs/Days	Fee Per Hr/Day	Total
Mon-Thurs (Daily Rate)
Mon-Thurs (Hourly Rate)
Friday (Daily Rate)
Saturday (Daily Rate)
Setup & Cleanup Fee
Damage Deposit
Total

Main Hall - Total Rental Fee (Minus Deposit)

Main Hall - Room-Only (Used in Discount Calculation)

Bar Rental

The bar rental is only available if you rent the the Remembrance Hall, Clubroom or Mountbatten room.

Will you be renting the bar? Note: Only Legion staff can work the Bar.*

YesNo

Bar Rental: Bar rental includes a Bar Steward and all bar supplies. Bar rate is per 100 people attending the event. When renting the Remembrance Hall, a Door Person is required.*

	Qty (based on per 100 attendees)	Bar Rate	Total
Bar Rental
Door Person
Total

Projector and Screen Rental

The projector and screen rental is only available if you rent any one of our rooms. The cost is $50 per event.

Will you be renting the projector and screen?*

YesNo

Projector Screen Fee

PA System Rental (Microphone)

The PA System (Microphone) rental is only available if you rent the Club Room or the Rememberance Hall. The cost per event is $10.

Will you be renting the PA System (Microphone)?

YesNo

PA System Fee

Total Rental Fee

Payable by debit, cash, cheque, or e-transfer. If paying by e-transfer, please email rcl129acct@outlook.com. Indicate in the message section that it is a rental deposit for (name the event).

Are you a not-for-profit organization? All not for profits receive 20% off. Proof must be provided to get the discount. The "Other" option is to be used for custom discounts. These types of discounts will be reviewed for approval by the Haliburton Legion.*

YesNoOther

TOTAL RENTAL FEE

	Total
Subtotal
Discount (applicable to room rate only)
HST (13%)
Damage Deposit (if renting Remembrance Hall)
Total

-- OFFICE USE ONLY -----------------------------------------------------

RECEIVED Rental Deposit Acknowledgement:

I, ___________________________________, have received the rental

deposit of $ __________________ for this rental contract from the

following person ____________________________________

dated on ________________________.

Signature _______________________ Date ___________________

RETURNED Rental Deposit Acknowledgement:

I, ___________________________________, have received my rental

deposit of $ __________________ back from The Haliburton Legion dated

on _______________________.

Signature _______________________ Date ___________________

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Haliburton Legion Facility Rental Agreement

Event Details

Renter Contact Information

Caterer Information

Decorator Information

Band/DJ Information

Room Rentals & Fees

Kitchen & Kitchen Supplies Rental

Mountbatten Room Rental

Schofield Room Rental

Club Room Rental

Remembrance Hall (Main Hall) Rental