Booking Request Form

The Nest Health Centre – Facility Booking Information Form

This form is used to request and coordinate facility bookings at The Nest Health Centre in Regina, Saskatchewan. It collects essential details about your organization, event, space requirements, setup needs, equipment, insurance, and any special accommodations. The information provided allows our team to assess availability, determine pricing, and ensure the space is properly prepared to support a safe and successful event. Submission of this form does not confirm a booking until approval is issued by The Nest Health Centre.

Requestor Information

Organization / Group Name(Required)

Primary Contact Name(Required)

Email Address(Required)

Phone Number(Required)

Space(s) Requested

Check all that apply.(Required)

Gymnasium

West Boardroom

East Boardroom

South Boardroom

Third Floor Boardroom

Multi-purpose Studio

Is this a recurring booking?(Required)

If yes, Frequency & Duration(Required)

(e.g., weekly for 8 months) Just put NA if answer is No.

Event Overview

Event Name / Description(Required)

Event Type(Required)

Start Date Request(Required)

End Date Request(Required)

Start Time(Required)

(including setup/teardown):

End Time(Required)

(including setup/teardown):

Estimated Number of Participants(Required)

Room Setup & Capacity Details

For Each Space Requested

Describe the Layout Request(Required)

Furniture & Equipment

Chairs Required(Required)

Number of Chairs

Just add None if No.

Tables Required(Required)

Number / Size of Tables

Just add None if No.

Whiteboard / Flipchart(Required)

AV / Screen / Projector(Required)

Sound System / Microphone(Required)

Mirrors Required (studios)(Required)

Sport Equipment Needed (if applicable)

Gymnasium-Specific (if applicable)

Court Configuration(Required)

Sport Type(Required)

Net Height Required (if applicable)

Just add None if No.

Studio-Specific (Dance / Yoga)

Barefoot Activity?

Footwear Type (if any)

Just add None if No.

Music / Audio input needed?(Required)

Bluetooth

AUX

Other

Check all that apply.

Special Requirements

Accessibility Needs(Required)

(mobility, seating, etc.)

Food / Beverage on Site(Required)

If Yes, Catered by(Required)

The Nest Health Centre – Facility Booking Information Form

Requestor Information

Space(s) Requested

Event Overview

Room Setup & Capacity Details

Furniture & Equipment

Gymnasium-Specific (if applicable)

Studio-Specific (Dance / Yoga)

Special Requirements

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