League/Multi-Booking Rental Request Form

Organization (if applicable)

Contact Name *

First

Last

Contact Email *

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Primary Phone *

Secondary Phone

Have you rented from the Township of Puslinch before? *

Yes
No

How did you hear about us? *

If selecting Other, please explain below:

Request Details

Please add all requested Dates, Times, and Locations. Use the "Add More" button to book different days of the week, different times of the day, or a different facility.

Facility *

Day of the Week *

Start Date and Time *

Date

Time

End Date and Time *

Date

Time

Event Type *

Other Event Type

What Sport *

Team Name

Number of Participants / Guests *

Number of Teams (if applicable)

Type of Event *

Adult
Youth

Liability Insurance *

I will purchase insurance through the Township program
I will provide insurance with a minimum of $2,000,000 Commercial General Liability. The Township of Puslinch must be listed as an Additional Insured in order to qualify. Additional Insured must be listed exactly as stated below:

Additional Comments

Change rooms, dragging, equipment, projector rental, table and chair requirements, etc.