Facility Rental Request Form - Township of Puslinch

Contact Name *

First

Last

Organization (if applicable)

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:

Do you know what facility you'd like to rent? *

Yes
No

Which facility are you looking to rent? *

Select all that apply

Outdoor Arena *

Arena Floor
Ice Rink (January & February)

To view a video walk-through of the Puslinch Community Centre, please click here and scroll to the bottom of the page.

Please note, there is no electricity (lights, outlets) at the Morriston Meadows Picnic Shelter.

Should your preferred Parks facility not be available, would you be interested in an alternative? *

Yes
No

What kind of facility are you looking to rent? *

Event Space/Meeting Room
Sports Facilities

Do you require the use of a kitchen? *

Yes
No

For kitchen only inquiries please contact the Township office by email at services@puslinch.ca or by phone at 519-763-1226.

Will you be serving alcohol? *

Yes
No

If you are serving alcohol, please review the Alcohol Risk Management Policy

Preferred Start Date and Time *

Date

Time

Preferred End Date and Time *

Date

Time

If your date is flexible, please provide an alternate date:

Date

Time

Event Type *

Other Event Type *

Please describe your event *

Expected Guests / Attendance *

Will you be serving food? *

Yes
No

Will you be serving alcohol? *

Yes
No

If you are serving alcohol, please review the Alcohol Risk Management Policy

Would you like to license the outdoor patio? *

Yes
No

This allows the renter to serve alcohol on the outdoor patio. There is an additional fee to license the patio. Please see our User Fees & Charges By-law for details.

Will you be selling merchandise / food? *

Yes
No

Will you be using any of the following at your event?

Food Trucks
Tents

Would you like to pay online? An additional convenience fee of 1.75% will be applicable.

Yes, sent me an electronic invoice to the email address provided
No, I will pay at the Municipal Office by cash, debit, credit or cheque

Liability Insurance *

I will purchase insurance through the Township’s third party insurance provider (link will be provided when rental is confirmed)
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 Comments

Additional details of the event; other rental requirements (i.e. change rooms, dragging, equipment, table and chair requirements, etc.)

Freedom of Information Disclaimer

Personal information on this form is collected under the authority of the Municipal Act and is maintained in accordance with the Municipal Freedom of Information and Protection and Privacy Act. Questions regarding the collection of this information may be directed to the Township Clerk’s office. The Township of Puslinch is committed to providing accessible formats and communication supports for people with a disability. If another format would work better for you, please contact the Township Clerk’s office for assistance.