Wootton Community Centre Hire - Booking Application Form

Wootton Community Centre Facilities Hire

Booking Application Form
Name*

First NameLast Name
on behalf of (organisation, if applicable)
Postal Address*

Street Address

Street Address Line 2

SuburbState

Postcode
Contact Person*
Phone*

Area CodePhone Number
E-mail*
Website (if applicable)
Facility required*
Type of Function*

WeddingFamily CelebrationWork CelebrationMemorial/WakeBusiness MeetingExhibitionOther
Date Required From*

DayMonthYear
Date
Date Required To*

DayMonthYear
Date
Start Time*

:HourMinutesAM/PM Option
Finish Time*

:HourMinutesAM/PM Option
Additional Facilities Required (if available)

KitchenCrockeryGlasswareCutleryTablesChairsTableclothsOther
Maximum number of adults attending*
Maximum number of children attending*
Will alcohol be consumed at the function?*

YesNo
Will alcohol be available for sale at the function?*

YesNo
If YES, please upload a copy of the appropriate liquor licence.

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Will you bring additional equipment into the facility (eg. live music, jukebox, DJ, jumping castle, cool room, spit etc)*

YesNo
If yes, please give details below:
PUBLIC LIABILITY INSURANCE
Are you a sporting body, club, association, corporation or associated body?*

YesNo
Are you hiring the venue for commercial or profit making purposes?*

YesNo
If you answered YES to any of the above questions you will be required to provide your own Public Liability Insurance minimum $20 million. Please upload a copy of your policy here

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I have read and understood the Wootton Community Centre - Hiring Terms and Conditions and the in their entirety and acknowledge that all the information provided is true and accurate. Where I am acting on behalf of an organisation, I confirm that I have the authority to sign this Agreement on behalf of the organisation. I understand that I must be present at all times during the function to supervise and will be held accountable for any and all damages which are in excess of the hiring bond.
Your signature:*

Clear
Drivers Licence No.*
PRIVACY STATEMENT
This information is required to process your request and will not be used for any other purpose without seeking your consent, or as required by law. Your application will be retained by Wootton Community Network Inc and disposed of in accordance with current legislation. Your personal information can be accessed and corrected at any time by contacting Wootton Community Network Inc.
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Wootton Community Centre Facilities Hire