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.

Little Qualicum Hall Booking Inquiry Form