General Information Applicant's Name Group / Organization Purpose / Nature of Event Non-Profit License no Mailing Address Street address City Province - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal code Phone Number Cell Phone Number Fax Number Email Address Contact person during event Name Email Address Cell Phone Number Type of space required Classroom required Number of classrooms required Lecture theatre required 136 seats Number of people anticipated Including volunteers and/or organizers Do you require special room setup? Yes No Details of room setup Computer / Internet access required? Yes No A/V equipment required? Yes No Details of A/V equipment Required Dates From To Day(s) of the week Sunday Monday Tuesday Wednesday Thursday Friday Saturday Required Times From To Food Catering Service? Yes No Is your event a program involving minors? Yes No A Program involving Minors [individuals under the age of nineteen (19)] on Campus includes but is not limited to: day camps (e.g.: sports, science, art, music etc.), lessons, and developmental, cultural, recreational events for minors. Please review our Minors on Campus Policy There must be an On-Site Program Operator, i.e. the individual responsible for the operation, delivery and oversight of the Program, physically present during all Program activities involving minors. Name of On-site Program Operator Cell phone number Have you used Douglas College facilities before? Yes No I acknowledge that our event including cleanup must end by 10:00 p.m. I have read the Facilities use regulations and agree to the terms and conditions set forth therein. View the Douglas College's Human Rights Policy. I confirm this event does not contravene Douglas College's Human Rights Policy. View the Douglas College's Human Rights Policy. Comments Please read the Facilities use Regulationas and ensure all members of your group are aware of them. Failure to comply may result in booking cancellation or extra billing. For catering, internet and other equipment requests: you will be contacted after your application is received. Leave this field blank