MTLHS Space Rental Form

Thank you for your interest in renting space from Montreal Healing Space! We are a multidisciplinary space designed by and for values-aligned practitioners who center intersectionality, systemic healing, and collective liberation.

Space rental is available to anyone aligned with our core values, principles and space agreements. We welcome individual and group sessions, workshops, classes, trainings, retreats, and events.

Please note: Space rental is conditional on your understanding and voluntary agreement to the following documents. Please throughly review these documents before applying. If you have any questions or concerns, please reach out at hello@mtlhealing.space

Foundation & Roots Agreement

Space Rental Terms of Service

Media Release Waiver

Health Policy

If you have any questions or concerns before applying, please reach out at hello@mtlhealing.space

Name*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Email*

hello@example.com

Date of Event*

Time of Event*

Please include set up and take down

Professional Title of Host*

Expected number of Attendees *

(e.g. 30 people)

Please check which space you are looking to rent:*

In-Person Office: For individual and couples sessionLarge Group Space: For group workshops, sessions, classes and events

Please provide a detailed description of your work/workshop/event/class:*

(e.g. name of event, description and other important information)

Please share in what ways if any, does your work/workshop/event align with the MTLHS Agreements, Values & Principles? *

(e.g. values, principles and agreements that resonate with your work/event)

Are you providing professional services that require professional liability?*

YesNoUnsure

If yes, please provide your insurance information

(i.e. Professional Liability Insurance, Policy # and amount of coverage)

Please share any needed equipment and facilities:*

(A speaker, cushions, chairs, floor chairs, chairs, and blankets for 30 people is provided)

Please describe the noise level expectations for your event. *

(e.g. a dance party with music, large group discussion, silent meditation)

Please upload any posters/media regarding your event/workshop/class.

Please share any remaining thoughts, questions, reflections and important details.

By checking the boxes and signing below:*

I acknowledge that I have read, understood, and agree to conduct myself in accordance with the Foundations & Roots: Space User Agreement.I acknowledge that I have read, understood, and voluntarily agree to all terms and conditions of the Space Rental Terms of Service.I have read, understood and voluntarily agree to all the conditions of the Health Policy.I have read, understood and voluntarily agree to all the terms and conditions of the Media Release Waiver.I acknowledge that I am over 18 years of age and legally authorized to sign all above agreements on my own behalf.

Signature

Date Signed

Date