Name of Individual Requesting Room: * Your Email Address: * Telephone Number where you can be reached: * Have you or your organization previously booked rooms with us? * Yes No Name of Group/Organization * What is your group/organization: * - Select -Registered CharityNon-Profit OrganizationFor-Profit OrganizationOther... What is your group/organization: Other... Does your Organization have Liability Insurance * Yes No If you answer Yes, proof of Insurance will be required. If you answer No, the Booking Facilitator will arrange necessary coverage and you will be invoiced. Room(s) Requested: * Sanctuary Fellowship Hall Kitchen Chapel Choir Room Resource Centre Booking Date * Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year2024202520262027 Booking Start Time: * Hour Hour7 am8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm : Minute Minute0030 Booking End Time: * Hour Hour8 am9 am10 am11 am12 pm1 pm2 pm3 pm4 pm5 pm6 pm7 pm8 pm9 pm10 pm11 pm : Minute Minute0030 Will this event be recurring regularly? * - Select -NoDailyWeeklyMonthly Please Enter Repeat Booking End Date Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year20222023202420252026 Purpose of Booking Event: * Special Event Reception Meeting Education/Training Other... Purpose of Booking Event: Other... Description of Booking Event * Do your required Additional Services for Your Booking? * All Organizations will be charged the following (if requested) * $75 for Projection or Recording of Event in Sanctuary * $75 for Sound System Technician in Sanctuary * $50 for Elevator Operator Hold Down the Control key to select (highlight) more than one service No Additional Services RequiredSound System OperatorProjection OperatorElevator OperatorRecording Operator Additional Booking Information (Optional): Booking Acknowledgement * When you submit this application, you are acknowledging that you have read and understood the General Guidelines for Facilities and Property Policy and Procedures for Kincardine United Church and that you accept responsibility to ensure that the Guidelines are followed. Yes, I confirm that I accept responsibility to ensure the Guidelines are followed. Leave this field blank