Room Hire Form

"*" indicates required fields

Club/Organisation Details

Primary Contact Name*
Business / Organisation Address*
Secondary Contact Name

Booking 1

DD slash MM slash YYYY
DD slash MM slash YYYY
Start Time
:
End Time
:
Program frequency (if applicable)

Booking 2

Is your event open to the public?*
Do you require this booking during the school holidays?*
Will you be selling food?*
This includes if it is built-in to an entry fee/ticket price
Will there be alcohol at your event/program/activity?*

Public Liability Insurance

Public Liability Insurance is required for all facilitators/hirers. Please attach a copy of your current Certificate of Currency. Public Liability Insurance must be valid to $10,000,000.
Max. file size: 256 MB.
DD slash MM slash YYYY
Consent