Facility Booking Form

Discover the types of jobs available across the City of Port Coquitlam. The City of Port Coquitlam values a dynamic and diverse workforce of highly skilled people working together to deliver excellent service to the citizens of Port Coquitlam.

Facility Reservation Request Application Form

First Name *

Last Name *

Email Address *

Date of Birth *

Phone Number *

Address *

Address

City

Province

Postal Code

Facility Reservation

Organization's Name

Purpose of Reservation

If you are an organization, please explain what benefits you provide to the community?

Facility Location Requested

First Preference

Second Preference

Third Preference

Facility Request Details

Do you require multiple dates?

Yes

Start Date *

Start Time *

End Date *

End Time

Start Date *

Have you reserved a facility with the City previously?

Yes

Expected number of attendance?

Questions or Additional Information

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Please note: If applicable, contact Fraser Health at 604.949.7200 to determine regulations regarding food/beverage requirements.