After Hours Booking Form

Room Rental Application Form for Cordova Bay 55 Plus

Name of Organization ______________________ _____________________

NFP registration # (if applicable) ___________________________________

Contact Person: (Please print) _____________________________________

Email: Contact person:___________________________________________

Phone: Contact person: Res _________________ Cell ________________

Alternate Contact Person: (please print) ______________________________

Email: Alternate person: ___________________________________________

Phone: Alternate person: Res __________________ Cell ________________

Date of Booking ____________________

Number of hours requested _______ (must include time for set up and clean up)

Start time: _________ Finish time: __________ (NB: No bookings after 9.00 pm.)

Total room rental fee (standard $35/hour) (NFP $28/hour or $150/day)

$ _______

Room requested: Big Room ______ Studio _____ Lounge _____

_________________________________*  Date: _______________
Signature of Contact Person

*In signing this form you are agreeing to abide by the terms and conditions as set out under Expectations for Users of CB 55+ Facilities.

For Office Use Only

Office Volunteer (Please print) _________________________________________

Brenda Hurd and Allan Dakin notified by ____________________ Date:___________________________

Who will be meeting the organization on the booking date? (Circle one below)
Brenda Hurd, Allan Dakin, Stew Arnold, Mike Mooney.

(July, 2021)

Expectations for Users of CB 55 Plus Facilities:

1. An application form (attached) must be completed at least four weeks prior to the booking dates and the fees paid at least 2 weeks prior to the event. Fees may be paid on line or by cheque submitted to the office.
2. No alcohol is allowed on the premises.
3. All groups must leave the facility in the condition in which they found it. It is the responsibility of the group to arrange chairs and tables for their meeting, if necessary, and “restack” the chairs and return the tables to the storage cupboards.
4. All breakages must be reported to the Office Coordinator in a timely manner.
3. If necessary floors should be cleaned/swept after use. Brush and pan are stored in the cupboard in the Seaside Room.
4. Access to any audio-visual (AV) equipment and the kitchen facilities is not permitted. Groups will need to make their own arrangement if AV equipment is required or if there is a need for refreshments. Exceptions may be allowed for special functions organized by or for CB 55+ members (such as “celebrations of life” for members) provided all necessary prior arrangements have been made.
5. Groups are allowed access to the facility a maximum of 10 minutes prior to their booking time and only in areas they have booked. They must vacate the building promptly at the finish time of their booking and no later than 9.00 pm.
6. Groups and individuals, other than those sponsored by CB 55+, must provide proof of commercial general liability insurance coverage at the time of booking. It should be for at least $2,000,000 inclusive per occurrence for bodily injury and property damage. CB55+ must be listed as an additional insured and the coverage must include a waiver of all rights of subrogation or recourse against CB55+.
7. Please remove any organic waste from the premises.
8. Non-compliance with any of these expectations could result in loss of rental privileges.

Cordova Bay 55+ Association

Cordova Bay 55 Plus Association respectfully acknowledges that we are on the traditional territories of the Lekwungen and WSANEC Nations

Help In Fundraising
Donations can be made by cheque and dropped off or mailed to:

Cordova Bay 55 Plus Association
#1-5238 Cordova Bay Road,
Victoria, BC, V8Y 2L2
Telephone: 250-658-5558
cb55@shawbiz.ca
Contact form
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