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Group/Organization Name:

Main Contact:

Current full mailing address: (include Postal Code)

Email:

Phone Number:


Facilities
Frank Kennedy Centre:
Gym
Classroom and meeting space
Pool:
Whole Shallow end Deep end

Other, please specify:

Max Bell Centre:
Max Bell Centre - Arena
Max Bell Centre - Field house (entire)
Max Bell Centre - Field house (infield)
Max Bell Centre - Track
Other, please specify:

Investors Group Athletic Centre:
How many courts do you need?
Other, please specify:

University Stadium & Sports Fields:
Stadium (entire)
Track
East Field (football, soccer, etc.)
West Field (no football)
Other, please specify:

Joe Doupe Centre:
Gym Studio

Active Living Centre:
Climbing Wall
Purpose of use: (e.g. practice, special event*, competition, training, etc.)

*if you indicate Special Event, please provide as much detail as possible
Dates
Start Date: (mm/dd/yyyy): Start Time:
End Date: (mm/dd/yyyy): End Time:
Length of time requested:

Option 2: Use this section to list SPECIFIC DATES:

Will you need sports and/or general equipment for your request? Yes    No
if Yes, indicate what type of equipment and how many items:

Questions and comments