Home Engage Form Centre Facility Rental Request Form

Facility Rental Request Form

The Cowichan Community Centre can provide venues for meetings, events, birthday parties, fitness, sport and dance. Please complete and submit the form below. Alternately, it can be printed and delivered to 2687 James Street, Facility Booking (2nd floor).

Facility Rental Request Form

Contact Information

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Title

Organization Name

Address(Required)

Street Address Address Line 2 City Province Postal Code

Phone(Required)

Fax Number

Have you booked with the Cowichan Community Centre before?(Required)

Yes

Booking Information

Type of Organization

Type of Booking

Expected Attendance

Date(s) Required(Required)

Times Required(Required)

Set Up: 15 minutes provided Clean Up: 15 minutes provided*

Bookings Required(Required)

Select Type of Venue(Required)

Describe Any Equipment You Need

Additional Comments / Questions

Land Acknowledgement

The CVRD is in the ancestral and unceded territories of First Nations including (but not limited to) Quw'utsun (Cowichan Tribes), MÁLEXEŁ (Malahat), BOḰEĆEN (Pauquachin), c̓uubaʕsaʔtx̣ (Ts'uubaa-asatx), xeláltxw (Halalt), Spune’luxutth (Penelakut), Stz'uminus, Leey’qsun (Lyackson), Diitiidʔaaʔtx̣ (Ditidaht) and P’a:chi:da?aht (Pacheedaht) Peoples. Local First Nations Peoples have stewarded the lands of this region since time immemorial. The CVRD is committed to the ongoing journey of reconciliation between Indigenous and non-Indigenous peoples in the region by strengthening cooperation, collaboration, and relationship building.