

Tel: (204) 925-5668 200 Main Street, e-mail:info@mbbroomball.com
Fax: (204) 925-5703 Winnipeg, MB R3C 4M2 Website:www.mbbroomball.com
Toll Free in Manitoba: 1-866-792-7666
EQUIPMENT RENTAL CONTRACT
The Manitoba Amateur Broomball Association will make Shoes, Brooms and Balls available for use by schools and community groups to provide opportunities for young people to learn about and play broomball.
Rental Fee: $30.00 for 1 loan/season or $50.00 for 2 loans/ season
Rentals are made on a first come first serve basis. Clinics may also be arranged.
The borrower is responsible for cost of transportation for pick-up and return of the equipment.
I, ______________________________________, of ___________________________________
Name Club/School/Association
hereby make an application to borrow the following equipment from the MABA
# Brooms __________ # Balls______________ # Shoes- sizes 3-12 _____________
Sizes Required : ________________________________________________________________________
_________________________________________________________________________
Furthermore, I guarantee that if any breakage or damages occur to the equipment that I am borrowing from the Manitoba Amateur Broomball Association, that full cost will be reimbursed to the Association.
Replacement cost: $15.00 per stick
$15.00 per ball
$65.00 per pair of broomball shoes
Signature:______________________________________ Phone #:______________________
Address:_______________________________________ Postal Code: ___________________
Pick-up Date: ___________________________________ Return Date: ___________________
FOR OFFICE USE:
Payment Details:________________________________________________________________
Information/Condition of Equipment:
Payment for breakage, damage, loss:___ ___________________________________________
![]()