Required fields are marked with an asterisk (*) Contact Information First name * Last name * Email Email * Confirm email * Phone number * Cell number Address 1 * Address 2 City / Town * Province * Postal code * Request Details Wedding date * Start time * Please state the start time for your event - including the set-up time End time * Please state the start time for your event - including the take-down time Number of guests * Facility requested * Will you be having a tent? * Yes No What size of tent will you be using? Do you require electricity, if available? * Yes No Acknowledgement Vehicle onsite not permitted Please note: Vehicles are not permitted to on-site. Please check if you acknowledge the notice below. * I acknowledge that this application is only a request. I will only receive confirmation once the applicable fees have been paid in full and the facility rental contract has been signed. Contact for access and privacy For additional information: Please contact the Facility Scheduling Office at 902.490.4585. In accordance with Section 485 of the Municipal Government Act (MGA), the personal information collected on this form will only be used by municipal staff for purposes relating to the administration of this application. If you have any questions about the collection and use of this information, please contact the Access and Privacy Office at 902.490.7460 or accessandprivacy@halifax.ca. What code is in the image? * Enter the characters shown in the image.
