Facility Booking Request Form

Please use this form to request Village of Haines Junction facilities.

The following facilities are available for rental:

Bill Brewster Arena Mezzanine,
St. Elias Convention Center Atrium,
St. Elias Convention Center Grand Hall and
St. Elias Convention Center Small Room (office).

Please contact the Village of Haines Junction at admin@hainesjunction.ca or 867 634-7100 with any questions.

<form-template>
	<fields>
		<field type="header" subtype="h1" label="Contact Information" class="header"></field>
		<field type="text" subtype="text" label="Event Host Organization" class="form-control text-input" name="text-1779471919361"></field>
		<field type="radio-group" required="true" label="Event Host Details" class="radio-group" name="radio-group-1779471977226" enable-other="true" other="true">
			<option value="Non-profit" selected="true">Non-profit society or group</option>
			<option value="Business">Business</option>
			<option value="Government">Government or Government Agency</option>
			<option value="Individual">Private Individual</option>
		</field>
		<field type="text" subtype="text" required="true" label="Contact Person" class="form-control text-input" name="text-1779472185900"></field>
		<field type="text" subtype="text" required="true" label="Mailing Address" class="form-control text-input" name="text-1779472195301"></field>
		<field type="text" subtype="text" required="true" label="Phone Number" class="form-control text-input" name="text-1779472204102"></field>
		<field type="text" subtype="email" label="E-mail Address" class="form-control text-input" name="text-1779472144716"></field>
		<field type="header" subtype="h1" label="Event Details" class="header"></field>
		<field type="text" subtype="text" required="true" label="Description of Event" class="form-control text-input" name="text-1779472309517"></field>
		<field type="text" subtype="text" required="true" label="Estimated Number of Attendees" class="form-control text-input" name="text-1779472324797"></field>
		<field type="radio-group" required="true" label="Would you like this event added to the Community Calendar? (hainesjunction.ca/p/upcoming-events)" class="radio-group" name="radio-group-1779472334974">
			<option value="yes" selected="true">Yes</option>
			<option value="no">No</option>
		</field>
		<field type="radio-group" required="true" label="Will Liquor be sold or served?" class="radio-group" name="radio-group-1779472380094">
			<option value="yes" selected="true">Yes</option>
			<option value="no">No</option>
		</field>
		<field type="radio-group" required="true" label="Will food be sold or served?" class="radio-group" name="radio-group-1779472414886">
			<option value="Yes" selected="true">Yes</option>
			<option value="No">No</option>
		</field>
		<field type="checkbox-group" label="Additional requirements" class="checkbox-group" name="checkbox-group-1779472432390" enable-other="true" other="true">
			<option value="None" selected="true">No additional requirements</option>
			<option value="LCD">LCD projector</option>
			<option value="Banquet-Package">Banquet package (table cloths, skirting, wine and water glasses, water jugs)</option>
			<option value="SOCAN">SOCAN/RESOUND fees (Society of Composers, Authors and Music Publishers of Canada)</option>
			<option value="Tech-room">Tech room (JAM Tech Room access by JAM member)</option>
			<option value="insurance">Facility User Group insurance (price varies)</option>
			<option>Theater seating (Grand Hall only)</option>
		</field>
		<field type="textarea" label="Other information" class="form-control text-area" name="textarea-1779472471335"></field>
		<field type="header" subtype="h1" label="Local Community Group and Individual Support" class="header"></field>
		<field type="paragraph" subtype="p" label="The Village of Haines Junction may waive facility rental fees and provide Third Party Liability Insurance for eligible community groups that are hosting public events in  Dakwäkäda/Haines Junction." class="paragraph"></field>
		<field type="radio-group" required="true" label="Is this event open to the public?" class="radio-group" name="radio-group-1779472518375">
			<option value="yes" selected="true">Yes</option>
			<option value="no">No</option>
		</field>
		<field type="text" subtype="text" label="If Yes, How will your event be advertised to the general public?" class="form-control text-input" name="text-1779472561782"></field>
		<field type="textarea" label="Will there be any costs/charges to attendees of the event? If yes, how will the proceeds be allocated? (e.g. fundraiser)" class="form-control text-area" name="textarea-1779472597110"></field>
		<field type="header" subtype="h1" label="Facility Booking Day 1" class="header"></field>
		<field type="paragraph" subtype="p" label="The Renter is responsible for the entire set up and take down. Please advice of dates and times you need access to the space to set up and take down." class="paragraph"></field>
		<field type="checkbox-group" required="true" label="Facility" class="checkbox-group" name="checkbox-group-1779472661543">
			<option value="Mezzanine" selected="true">Bill Brewster Arena Mezzanine</option>
			<option value="Grand-hall">St. Elias Convention Center Grand Hall</option>
			<option value="atrium">St. Elias Convention Center Atrium</option>
			<option value="small-room">St. Elias Convention Small Room</option>
		</field>
		<field type="date" required="true" label="Date" class="form-control calendar" name="date-1779472718647"></field>
		<field type="text" subtype="text" required="true" label="Start time" class="form-control text-input" name="text-1779472737583"></field>
		<field type="text" subtype="text" required="true" label="End time" class="form-control text-input" name="text-1779472749087"></field>
		<field type="textarea" label="If this is a repeating event, please describe the repeat schedule (ie. every Thursday until July 11)." class="form-control text-area" name="textarea-1779473151189"></field>
		<field type="header" subtype="h1" label="Facility Booking Day 2" class="header"></field>
		<field type="paragraph" subtype="p" label="The Renter is responsible for the entire set up and take down. Please advice of dates and times you need access to the space to set up and take down." class="paragraph"></field>
		<field type="checkbox-group" label="Facility" class="checkbox-group" name="checkbox-group-1779473480765">
			<option value="none" selected="true">No day 2 rental</option>
			<option value="mezzanine">Bill Brewster Arena Mezzanine</option>
			<option value="grand-hall">St. Elias Convention Center Grand Hall</option>
			<option value="atrium">St. Elias Convention Center Atrium</option>
			<option value="small-room">St. Elias Convention Small Room</option>
		</field>
		<field type="date" label="Date" class="form-control calendar" name="date-1779473321910"></field>
		<field type="text" subtype="text" label="Start time" class="form-control text-input" name="text-1779473334549"></field>
		<field type="text" subtype="text" label="End time" class="form-control text-input" name="text-1779473346877"></field>
		<field type="textarea" label="If this is a repeating event, please describe the repeat schedule (ie. every Thursday until July 11)." class="form-control text-area" name="textarea-1779473365222"></field>
		<field type="header" subtype="h1" label="Facility Booking Day 3" class="header"></field>
		<field type="paragraph" subtype="p" label="The Renter is responsible for the entire set up and take down. Please advice of dates and times you need access to the space to set up and take down." class="paragraph"></field>
		<field type="checkbox-group" label="Facility" class="checkbox-group" name="checkbox-group-1779473444886">
			<option value="none" selected="true">No day 3 rental</option>
			<option value="mezzanine">Bill Brewster Arena Mezzanine</option>
			<option value="grand-hall">St. Elias Convention Center Grand Hall</option>
			<option value="atrium">St. Elias Convention Center Atrium</option>
			<option value="small-room">St. Elias Convention Small Room</option>
		</field>
		<field type="date" label="Date" class="form-control calendar" name="date-1779473530917"></field>
		<field type="text" subtype="text" label="Start time" class="form-control text-input" name="text-1779473540901"></field>
		<field type="text" subtype="text" label="End time" class="form-control text-input" name="text-1779473550541"></field>
		<field type="textarea" label="If this is a repeating event, please describe the repeat schedule (ie. every Thursday until July 11)." class="form-control text-area" name="textarea-1779473580077"></field>
	</fields>
</form-template>