Gymnasium Rental Request Form *Denotes Required Field * Title Applicant Information * First Name: * Last Name: * Phone Number: ( ) - * Email: * Today's Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2018 2019 Gym Booking Details * What date are you requesting to rent the gym? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2019 2020 2021 2022 2023 2024 Note: Mondays and Thursdays are unavailable for any booking inquiries. * What time are you requesting to rent the gym? Note: Booking is only available in hour long increments (ex. no 1.5 hour bookings) * Number of Participants: * Age of Participants: Sports Being Played: Basketball Volleyball Soccer Dodgeball Football Fitness Other * Please explain: Note: No Floor Hockey allowed in Gymnasium Gym Information PRBI does not accommodate birthday parties. Gym booking is for youth groups and organizations only. Booking Fee is $100.00/Hour. Anyone under the age of 17 needs at least one adult present during the entire booking. Indoor non-marking shoes are required for everyone entering the gymnasium. Sports equipment will be provided by PRBI with a damage deposit payment of $150.00 (which will not be charged unless equipment is broken or gym floor/bleachers are damaged). Change room and lockers are available for use 15 minutes before and after your booking. Must submit request at least 5 business days in advance. ALL REQUEST FORMS ARE REQUESTS, NOT BOOKINGS. WE HAVE A BUSY GYM SCHEDULE AND WILL TRY TO MAKE YOUR TIME WORK, BUT THERE IS A HIGH CHANCE WE WILL HAVE TO WORK OUT A DIFFERENT DATE/TIME. If you have any questions, please call 780-568-3962. Disclaimer & Signature * Signature: * Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2019 2020 2021 2022 2023 2024