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Home / Bookable Spaces / Room Rental Request Form

Room Rental Request Form

Name: 23rd Annual Mood & Anxiety Disorders Conference
Start: 2023-11-11T08:00:00-05:00
End: 2023-11-11T16:30:00-05:00
Location: Providence Care Hospital

Room Rental Request Form – Providence Care Hospital

You will be contacted with confirmation of the room booking, subject to availability.

Applicant Information:
Name:*
Name of Organization:*
Address:
City:
Phone Number:*
Email Address:*
Event Information:
Name of Event:*
Date of Event:*
MM slash DD slash YYYY
Start Time:*

: Hours

Minutes

AM/PM
End Time:*

: Hours

Minutes

AM/PM
Type of Event/Description:*
Number of Attendees:*
Is your event exclusive to Providence Care attendees?*
- YES
- NO
Describe who is invited to attend the event:*
Registered Not-For-Profit Group:*
- YES
- NO
Registration Number:
Room:
- Founders’ Hall
- Classroom A
- Classroom B
- Combined Classroom A & B
- Classroom C
- Classroom D
- Admin A Meeting Room
- Computer Training Room
- Group Room (Large)
- Private Dining Room/Meeting Room
- Gymnasium
- Pool
- Vendor Display Area
Additional Details:*
Applicant’s Acknowledgement:*
- I certify that I have read the Providence Care Agreement and agree to abide by such terms.

Δ

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Upcoming Events

Nov 11

8:00 am - 4:30 pm

23rd Annual Mood & Anxiety Disorders Conference

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Providence Care Hospital
752 King St. West Kingston, ON K7L 4X3

Providence Manor
275 Sydenham St. Kingston ON, K7K 1G7

Providence Transitional Care Centre
340 Union St. Kingston, ON K7L 4E6

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