Picnic Rental Request Form

Requests for the 2017 season can only be made by completing this online form. 

Please complete all required fields (marked with an asterisk*) before submitting the form. If the submission is not sent please review your submission and complete the missing fields. You will receive a confirmation once you have successfully submitted the form.

Requested Dates

Start and End Time

Picnic Shelter Requested

Event Details

*Is this event open to the general public?

*Is a ball diamond required?

*Is a sports field required?

e.g. bouncy castle

Contact Information

*By checking "I consent" you are consenting to the voluntarily collection and use of your personal information in accordance with Section 26(d) of the Freedom of Information and Protection of Privacy Act. The information provided by you will be used solely for the purpose of requesting a picnic. Your information will not be used for any other purpose. If you have any questions about the collection, storage, correction and/or use of your personal information please contact Claudette Haire, City of Coquitlam, Parks, Recreation and Culture at 604-927-3534.
 
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