Between the Newtonville Community Hall Board (Lessor) and LesseeSection 1: Contact InformationName* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Daytime Phone*Email* Organization (if applicable)Section 2: Event DetailsType of Event*Baby ShowerBirthday PartyChildren's PartyCommunity EventWeddingOtherIf you selected 'other', please indicate the type of event:Date of Event* MM slash DD slash YYYY Time of Event (Start)*Please be sure to include setup time (you will not be able to gain access to the building prior to this time).Time of Event (End)*Please be sure to include take down time (you will be required to leave the hall at this time).Section 3: PricingDo you require a full day rental (9AM to 1AM) ?* Yes NoFull Day Rental Rate Full Day Rental ($300.00)Hourly Rental Rate Hourly Rental Rate ($35.00)Enter the number of hours required below:Please enter a number greater than or equal to 2.Please note: rentals must be a minimum of 2 hours.Damage Deposit*Mandatory Damage DepositA $100 damage deposit is required for all rentals. You must agree to this term in order to complete the form.Total Estimated Rental Fees $ 0.00 CAD Section 4: LiquorLiquor on Premises* Yes NoSale of Liquor* Yes NoLiquor Permit Obtained?* Yes No Still to be ObtainedLiquor Permit Information (Date and Signature on permit)*Section 5: InsuranceUmbrella Insurance Information:*MandatoryObtained Mandatory insurance can be obtained from clarington.instantriskcoverage.com/login (Armour Ins) or DUUO or insurance of choice. Special Event insurance certificate required. Armour Policy # should read NEWT plus your 3digit rental number(Eg: NEWT123)Insurance Provider/Policy Number*Dated MM slash DD slash YYYY Section 6: AgreementEstimated Total Amount Due $ 0.00 CAD A representative from the Newtonville Community Hall will be in touch to confirm the total amount.Payment method*CashChequeE-Transfer (Available upon Request)A $100 damage deposit (cheque or cash) is required for all rentals. In order to rent the Hall, you must agree to all of the following terms.* I agree to provide a $100 damage deposit. I understand that the $100 damage deposit will be returned to me once the rental has concluded providing there is no damage to the Hall. If there is damage to the Hall, I will forfeit the $100 damage deposit to assist with repairing the damage that either myself, or my guests, caused. If the damage is in excess of $100, I understand that I may be held liable for the cost of repairs.All renters must agree to the following:* I confirm that the information provided on this form is accurate. I have read and understand the (Rental Terms and Conditions). I agree to the Rental Terms and Conditions.Name of Lessee (must be 21 years of age or older)*Questions/CommentsCAPTCHA