Library Facility Request Form

Please fill out the form below to request the use of a Halton Hills Public Library facility. For most occasional bookings you will be notified within 5 business days about the availability of your request. If you require further information please call 905-873-2681 ext. 2554.

Note: This is not a permit. It is a request only.

First Name:

Last Name:

Address:

City:

Postal Code:

Phone:

Email:

Organization/School/Company Name (if applicable):

Number of participants:

Room (if known):

Date Requested:

Start Time:

End Time:

Please describe the nature of use. NOTE: The Halton Hills Public Library reserves the right to determine whether the intended use is appropriate for the facility.

Please indicate if your event will have any of the following. Please note that special permission may be required and/or subject to additional approvals, licenses, permits or fees:

Serving Food

Charging Admission

Licensed Vendor

Please indicate if you have additional requirements or need equipment. Please note that not all equipment is available at all facilities:

Tables

Chairs

Data Projector

Screen

Lectern

Laptop (available for exam purposes only)

Insurance:

All groups are required to carry liability insurance in the amount of $2 million dollars, if you do not already have coverage you can purchase insurance through the Town of Halton Hills at a reasonable rate. Please note that the insurance purchased from the Town is only valid for activities that occur at approved Library property. If your group does have liability insurance coverage, we require a copy of the certificate, which must specify the following:

$2 million dollars liability insurance coverage per occurrence.

To purchase Insurance from the Town please contact the Library at: 905-873-2681 ext. 2503.

NOTE: You may be asked to present proof of insurance.

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Library Facility Request Form

Insurance: