Community Centre booking request form Step 1 of 2 50% HiddenNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Contact DetailsName(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Mailing address Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Event DetailsEvent description(Required)Please provide information on the type of event you're hosting and the number of participants you anticipate will attend.Event start date(Required) Starting time(Required) Time of day(Required)AMPMEvent end date(Required) Ending time(Required) Time of day(Required)AMPMDisclaimer(Required)Personal information is being collected under the authority of Section 33(c) of the Freedom of Information and Projection of Privacy Act and will be used to administer the Coalhurst & District Community Centre Rental Agreement. Your information is protected by the Privacy Provisions of the Freedom of Information and Protection of Privacy Act. Questions regarding the collection of personal information can be sent to [email protected]. Agree PhoneThis field is for validation purposes and should be left unchanged.
