Room Rental Form - Child Development Resource Connection Peel

Personal information contained on this form is collected under the authority of section 11 of the Municipal Act 2001, SO2001, c.25. The information will be used for the purpose of administering the CDRCP Facility Rental contracts and will also be used for business you may conduct with CDRCP relating recreation programs.

Once we review your request, we will contact you to sign the rental contract and fill in the payment form

Note: The room rental is only available for CDRCP's head office at 75 Watline Ave Unit #103, Mississauga, ON L4Z 3E5

Name

First

Last

Organization Name

Job Title

Phone Number

Email Address

Organization Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Development policy must

How did you hear about us

Have you rented from the CDRCP before?

Yes
No

Expected number of attendees

Expected attendance must be accurately estimated for capacity, safety, and insurance purposes, maximum capacity is 50 people

Select Date

Start Time

End Time

You must maintain insurance coverage not less than $5,000,000.00 per occurrence for policy of Public Liability, Personal Injury and Property Damage insurance, and must name Child Development Resource Connection Peel as additional insured.

I have insurance and will submit the insurance certificate details upon request.

Event description/special requirements

I agree to terms and conditions