RENTED
RENTED
Containers
Landfill Open
RENTED
NG VMW OPP Detachment Board Meeting
RENTED
RENTED
Committee of the Whole Meeting
Fibres
Merrickville-Wolford Community Coalition
2nd Annual Garden Party
Regular Council Meeting
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Memorial Tree/Bench Request Form
Full Name
*
Address
*
PO Box
*
City
*
Postal Code
*
Telephone
*
Email
*
Type of Tree Requested
Select a species
Linden
Hard Maples
Sugar Maples
Crimson King Maple
Flowering Crabtree
Sunburst Locust
Honey Locust
Oak or other nut-producing trees (Butternut, Walnut etc.)
Colorado Blue Spruce
Scotch Pine
Type of Bench Requested
No Bench
Park
Open Space
Plaque Information (Name, Date, Verse - 10 word limit)
Requested Location (Parks, Green Space)
*
Estimated Payment
Does not include the cost of the plaque.
Signature
*
Date
*
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Facility Rental
Contact Information
Name of Organization/Club/Person
*
Applicant(s)
*
Address
*
City
*
Province
*
Postal Code
*
Phone Number
*
Home/Business phone
Phone Number
*
Cell phone
Email address
*
Are you a resident of Merrickville-Wolford
*
Resident
Non-Resident
Event Info
Which facility would you like to rent?
*
Merrickville Community Center / Grounds
Centennial Hall
Ball Diamonds
Soccer Fields - Merrickville
Soccer Field - Eastons Corners
Type of Event (Memorial Community Center)
*
Auction
Event with no bar
Event with bar
Service Organization
Three Hour Rental
Three Hour Rental (Community Groups)
Upstairs Room Only
Theatre Night in Merrickville
Centre and grounds (weekend event)
Centre grounds ONLY (weekend event)
Blood Donor Clinic
Funeral Service
Family Luncheon/Dinner
Child's Party
Bridal Shower
Type of Event (Centennial Hall)
*
Hall
Three hour rental
Funeral Service
Family Luncheon/Dinner
Child's Party
Bridal Shower
Starting Date / Time of Event
*
enter the start date and time of the first occurrence
Ending Date / Time of Event
*
enter the end date and time of the first occurrence
Repeat Type
*
No Repeat
Daily
Weekly
Monthly
Irregular
Repeat Until
*
On which day(s)?
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
On which week(s)?
*
First
Second
Third
Fourth
Fifth
Last
Select Multiple Dates / Times
*
Select which Merrickville fields would you like to rent?
Larger Field
Secondary Field
Eastons Corners Soccer Field
Resident Rental
Non-Resident Rental
Estimated number of people to attend
*
I/We will also be renting the Community Centre grounds (additional fees apply).
*
Yes
No
Will you be serving alcohol at your event? Note: Centennial Hall is not licensed to serve alcohol.
*
Yes
No
If yes, I/We shall obtain a "Special Occasions Permit" under the Liquor Licence Act and shall provide a copy to the Municipal Office prior to the event.
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