City of Mississauga - Facility Rental Online Booking Form

Facility Rental Request Form
Please complete and submit this form. A staff person will contact you within two business days to help with your rental request. * = Required fields.
General Information
*First Name:		*Last Name:
*Are you making this request on behalf of an organization?:		Have you rented from the City of Mississauga before?:
*If Yes, what is the organization name?:
*Phone Number (Primary):		Phone Number (Secondary):
*E-Mail:		*Best method of contact:
Apartment Number:		*Street Number:
*Street Name:		*City:
*Province:		*Postal Code:
Rental Information
Description: Please provide a description of the activities that will take place during your event.*
*Will there be alcohol at this activity?:	If yes, please review the Municipal Alcohol Policy (MAP) details available here.	*Will there be music played at this activity?:	If yes, please note that additional charges will apply for SOCAN and RE-SOUND.
*Rental Space Type?:	Note: Our Banquet locations are full service facilities, outside food and beverage is not permitted (including C-banquets, BraeBen and Harding Estate).	*Facility Name:	Note: Facilities details available here.
*If Other, enter the other rental space types below:
Room Name (if known):		*Geographic Area:
*Preferred Start Date:		*Preferred End Date:
*Preferred Start Time:		*Preferred End Time:
*Frequency:		*Preferred Day(s) Requested (check all that apply):	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
*Required Set-Up Time:		*Expected Attendance (approx. number):
*Age Range of Attendees:
*Insurance Requirements All users are required to obtain and maintain insurance coverage in the amount of $2,000,000 ($5,000,000 if alcohol is present) for public and general commercial liability insurance, and must name The Corporation of the City of Mississauga as additional insured. If you have your own Insurance, you will be required to complete the Certificate of Insurance Coverage Form available here.

Special Requirements/Comments: Please provide any special requirements or comments.
Type of Booking:		How did you hear about our venues?:
		If Other, enter the other ways you've heard about our venues:
The personal information on this form is collected under authority of Section 11(1) of the Municipal Act, 2001 or The Parks By-law 186-05 and will be used in the administration of facility rentals. Questions about this collection should be directed to the Manager, Customer Service Centre, 301 Burnhamthorpe Rd. W., Mississauga ON L5B 3Y3, telephone 905-615-3200, ext. 5037.
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City of Mississauga
300 City Centre Drive, Mississauga, Ontario, Canada
L5B 3C1
Customer Service: Call 905-615-4100

Facility Rental Request Form

General Information

Rental Information