OFFICE USE ONLY
Date Received:

FACILITY APPLICATION for ARENA

2015 SPRING/SUMMER ICE DEADLINE: December 1, 2014

2015 SPRING/SUMMER FLOOR DEADLINE: January 10, 2015

WINTER 2015-2016 ICE DEADLINE: MAY 31, 2015

CONTACT INFORMATION

Organization (if applicable):
Address: / City: / Postal Code:
Contact Person: / Daytime Phone: / Evening Phone:
Fax: / Email:

ADDITIONAL CONTACT INFORMATION - ORGANIZATIONS

Name / Email / Information they should receive
Permit/Scheduling Changes
Affiliation/General Information
Cancellations/Emergencies
Permit/Scheduling Changes
Affiliation/General Information
Cancellations/Emergencies

GENERAL INFORMATION

Start Date: / End Date:
New Request / Renewal
If applicable, are the requested date(s) and time(s)
the same as last season? Yes No / User Type
Adult
Youth
Mixed / Type of User
Youth Affiliated
Non Affiliated
Usage
Meeting(s)
One Time
Practices & Games
Special Event
Tournament
______/ Day(s)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
/ Time (am-pm): / Location
Arena:
Pad or Space specifics (i.e. Rink A):
If the above is not available, what is your second choice:
Arena: Pad or Space specifics (i.e. Rink A):

INSURANCE INFORMATION (Please check which applies to you)

OPTION 1: Organization will provide a valid certificate of insurance evidencing proof of Commercial General Liability Insurance with a minimum coverage amount of $2,000,000 per occurrence and endorsed to include the City of Hamilton as additionally insured. / OPTION 2: Organization to purchase Insurance
for activity/event through the City
Number of participants (required info.):
Payment of Gameday Insurance (City of Hamilton), or provision of “activity insurance” must be received prior to release of permit.

Signature: Date:

Please provide completed application to: City of Hamilton - Facility Booking

Location: City of Hamilton, Lister Block Building, 28 James St. N., 3rd Floor, Hamilton, ON L8R 2K1

Mailing Address: Attn: Recreation – Facility Booking, City of Hamilton, P.O. Box 2040, Hamilton, ON L8P 4Y5

Phone: 905-540-5590 Fax: 905-546-2338 Email: