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Grace Tipling Concert Hall Facility Use Application

Please complete this form.

Is this for an organization?

Yes

No

What is your first name

What is your last name?

What is the best number to contact you at?

Extension Number

What is your email address?

Please choose which features your would like to rent

Coat Rack

Grace Tipling Concert Hall

Light Board

Sound Board

Will this rental be for multiple dates and times?

Yes

No

Please provide any additional comments, instructions, questions or other equipment required.

Personal information is protected under the Municipal Freedom of Information and Protection of Privacy Act, 1989. Personal information is collected pursuant to the Municipal Act R.S.O. 1990, Chapter M-45 as amended, S.207, and Par.28 and will be used to register program participants.

Inquiries may be directed to the Clerk’s Office at (519) 925-2600