NEIGHBOURHOOD ACTIVITY TRUNK - Booking Form

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NEIGHBOURHOOD ACTIVITY TRUNK - Booking Form 1. To book the Activity Trunk, please return the form to Festival of Neighborhoods at: Festival of Neighbourhoods Social Development Centre Waterloo Region 23 Water Street North, Kitchener N2H 5A4 PHONE: 519-579-3800 FAX: 519-578-9185 EMAIL: entries@festivalofneighbourhoods.ca First come, first served with items from their order. 2. Once your booking request is received, you will be sent the booking confirmation. 3. Pick up the Trunk Monday to Friday between 9:30 am and 4:30 pm at the above address. If your event is on a weekend, the trunk must be picked up by 4:30 pm on the Friday before. 4. There is a fee of $25.00 for wear and tear of items (this fee is waived for events organized and lead by youth under 21 years of age). Payment can be made by cash or cheque and is due when the Trunk is picked up. You will receive a receipt for your payment. 5. After your event, please check that you have all items before returning the trunk. Return the Trunk by the following day (or the following Monday if you had a weekend event). 6. This booking will be used as a pre-registration of your activity with the Festival of Neighbourhoods if held in Kitchener and we will follow up to complete the registration after the event. I would like to book the NEIGHBOURHOOD ACTIVITY TRUNK for: Event Name, Date & Time: Neighbourhood Name: Event Location: Contact Name: Contact Address: Youth Group (if applicable): Phone Number: Fax: Email Address: Additional Notes Payment Method Cash Cheque By signing this agreement, I accept responsibility for the Activity Trunk and all of its contents while it is in my possession. Further, I understand it is my responsibility to provide appropriate supervision for the use of the equipment and supplies in the Trunk. I agree to verify the contents of the Trunk when I pick it up and will submit a report after the event has occurred that will document damaged or missing items. Signature: Date:

Please mark which items you need in the left-hand column. When you receive your order, you will receive all the contents of the trunk(s) which you have indicated on this form. Make sure there is supervision of the activities at the gathering. Essentials 10x10 canopy (assembly required) 2 Water jug with tap 3 A Frames 2 Lawn Signs 5 Coleman cooler 1 Individual Sports Items Net & pole structure 1 Ping pong set 10 paddles, 3 balls Soccer balls 3 Mini orange cones/markers 9 Hockey Pucks 5 Majik smash racket set 3 rackets, 3 birdies Baseball 1 baseballs, 1 bat Badminton set 2 rackets and 2 shuttlecocks Small orange balls 6 Basketball 1 Volleyball 1 Tennis balls 12 Football 2 Assortment of small balls 7 Indoor Fun Trunk Foam building blocks Large building blocks Play-dough set Foam Puzzle Mat Lego Juggling Balls Throw pong Bowling Wooden Building Blocks 1 bag 2 puzzle mats 3 balls Board Games Trunk Justice League Checkers 1 Snakes and Ladders 2 Polarity 1 Neighbourhood Activity Trunk - Booking Form Page 2 of 6

Line up 4 1 Jumbo checkers/super Tic Tac Toe 1 Game Board Ludo Game 2 What's the word 1 Chinese checkers 1 Seasonal fun trunk Sidewalk Chalk 5 sets Skipping ropes 9 Hockey Skates - Y10-Y13 Helmet 1 Bob Skates 1 Animal Tracks 3 pairs Crafts Trunk Neon Pipe Cleaners 2 packs Popsicle Sticks Aluminum Foil Paper cups Brown paper bags 40 2 boxes Multicolored straws 2 boxes Yarn 5 Construction paper Scissors 5 Glue Sticks 20 Glitter Glue 10 Sticky Shapes Stickers Foam Pages Felt cloth 2 pkg 2 bags 2 sheets 2 pkgs 1 pkg Drawing Trunk Pencil Crayons Construction paper Wax Crayons Glitter Glue 10 Stencils 10 3 packs 1 pkgs Neighbourhood Activity Trunk - Booking Form Page 3 of 6

Scrapbooking trunk Pattern paper pack 6 pkgs Alphabet Punch-outs Loading Pocket Pages and Extension Posts Sticky letters and numbers Cardstock Glue sticks 10 Scissors 10 4 pkgs 10 pkgs 1 pkgs 1 pkgs Paint Trunk Watercolor Palettes 3 Cotton Smudges 3 bags Paint Brushes 45 Paint Sponges 30 Liquid Tempera Paint Coffee filters and paper plates 50 Sponges 8 12 bottles Plastic cups and containers 30 Plastic Table/floor protector sheet 1 roll Jewellery Trunk Miscellaneous beads Scissors 8 10 packs Stretchy Jewellery String 5 Liquid glue 2 containers Friendship Bracelets Book 1 Seashells Multi-coloured string 4 2 boxes Generic Games Trunk Tokens/Markers for games 100 Dice and markers Deck of Cards 3 Ratuki Card Game 1 Large Dice 2 Mini-Bowling Game Jacks Dominoes Mini Ping-Pong Marbles 127 2 rackets, 1 ball Neighbourhood Activity Trunk - Booking Form Page 4 of 6

Outdoor Trunk Ladder Golf Safety Lawn Dart Set Mini golf Bubble blowers 6 Scoops and Balls 2 sets Frisbees 15 Children s Horseshoes Adult Horseshoes Bocce Ball Set Disc Slam and Disc Toss 3 sets Fun Trunk 24ft Parachute 1 12ft Parachute with handles & balls 1 Tug of war 2 Horseshoe and Ring Toss Set 1 Canvas Group Walkers Double Dutch Skipping Rope 1 Build a Hula-Hoop Set 1 Twister 2 Large Ball Toss 1 Bean Bag Toss 1 Chinese Jump Rope 2 Build a fort 1 Washer Toss Instruments Trunk Tambourines 9 Mini drums 2 Drumsticks 2 pairs Recorders 3 Maracas 12 Clappers 6 Mini Cymbals 1 pairs Large plastic trumpets 2 Bells 40 FESTIVAL OF NEIGHBOURHOODS (PRE) REGISTRATION This booking may be used to pre-register the activity for which the items are requested with the Kitchener s Festival of Neighbourhoods. If that is the case, and the activity is eligible, we will follow up after the event to ask additional questions and complete the registration. Neighbourhood Activity Trunk - Booking Form Page 5 of 6

The form you can use to complete the registration can be accessed here: http://www.waterlooregion.org/festival-of-neighbourhoods-registration-full Neighbourhood Activity Trunk - Booking Form Page 6 of 6