Little Qualicum Hall Booking Inquiry Form Thank you for your interest in booking the Little Qualicum Hall. A RDN staff member will be in touch following submission of this form. Please allow at least 24 hours for a response (Monday- Friday).Contact Information: Name of person making the inquiry Mailing Address City Province Postal Code Email Address Home/Work/Cell Numbers Please provide a number at which you can be reached during business hours 8:00a.m.- 4:30pm. Event Info Name of group Type of event i.e., meeting, fitness class, birthday party Preferred date(s) of booking Hours Needed (start and end time) Note the hall is only available between 8am and 10pm Number of attendees Maximum of 50 people Little Qualicum Hall’s kitchen is not commercial grade and can only be used for basic food preparation. I understand Will you be setting up any structures in the park (i.e., bouncy castle, tents, tables/chairs) Yes No Type of structure requested Will you be serving alcohol? Yes No Will you be playing amplified music? Yes No Information collected on this form is done so under the general authority of the Freedom of Information and Protection of Privacy Act (FOIPPA), and is protected in accordance with FOIPPA. Questions about the collection of your personal information may be referred to the Legislative Services Department via email at foi@rdn.bc.ca. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.