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 City of Mississauga Recreation and Parks Facility Rental contracts. Questions about this collection should be directed to: Manager, Recreation and Parks, Customer Service, at 905-615-4100.


GENERAL INFORMATION


 Renewal    New Request







Please correct the following errors and try again:

APPLICANT INFORMATION









(ex. 555-555-5555)













Alternate contact has permission to make changes to allocation of behalf of the organization.
Note: Full name, phone & email are required if you choose to provide an alternate contact









FACILITY INFORMATION


Facility Details




(e.g. Mon, Tue, Wed)





Second Facility Details (In addition to above)















Third Facility Details (In addition to above)















Fourth Facility Details (In addition to above)















Fifth Facility Details (In addition to above)












Make an Additional Facility Request

INSURANCE INFORMATION


Please note that the City of Mississauga, Community Services Department has adopted a Mandatory User Insurance Program. For more information, please contact the Recreation and Parks Customer Service Centre at 905-615-4100 press 2.


IMPORTANT: If you are not purchasing insurance through the City, you must complete this form (Certificate of Insurance Coverage), and submit it via scan/email to facility.rentals@mississauga.ca, or fax it to 905-615-4101.



ADDITIONAL COMMENTS & REQUIREMENTS




TERMS OF SERVICE


The City will make every effort to accommodate requests that are received, however there are no guarantees that every request can be granted, or granted without modification. The City will contact each applicant to confirm the details of successful applications.