Application for Hire (Business)

Application for Hire (Business)

Submission of this form does not guarantee hire, your application will be confirmed via email.
Name of Hirer / Organisation*
Type of Entity*

BusinessNot-for-Profit (must provide proof of status)
ABN / ACN (must be provided)*
Contact Name*

PrefixFirst NameLast Name
Address*

Street Address 1

Street Address Line 2

SuburbState

Post Code
Email*
Contact Number*
Room Hire Details
Purpose of Hire*
Type of Hire*

CasualRegular / Ongoing
Room(s) Required*

HallArt Studio (not available after 4pm)Room 1Room 2Room 3ELC/Room 5
Day(s) of Week*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Start Date*

DayMonthYear
Date
End Date*

DayMonthYear
Date
Excluded Dates?
Number of Weeks Hiring
Start Time of Hire - must include setup *

Hour Minutes

AM/PM Option
End Time of Hire - must include pack up *

Hour Minutes

AM/PM Option
Requirements (additional charges)

Data projector (office hours only)Data screen (office hours only)Whiteboard (office hours only)Video conferencing equipment (office hours only)
Additional Comments
Additional Information
Number of people attending*
In accordance with the building code numbers must not exceed room capacity - Refer to handbook*
Additional Information

Commercial caterer on site? Please attach a copy of their registration and public liability certificatesSelling Food and/or Soft Drinks? Please attach your relevant Streatrader or food registration documentation
Driver's Licence Details
Copy of Driver's Licence

Cancelof
Copy of Driver's Licence Attached?*

YesNo
Driver's Licence Number
Insurance
Insurance*

Own Public Liability Insurance (copy must be provided with this form) Organisations who hold Public Liability Insurance must be provided to the Manager at the time of submitting the Hire Application Form, a minimum of 14 working days prior to the hire date.
Copy of Public Liability Insurance

Cancelof
How did you hear about us?
How did you hear about us?*

Course GuideSocial MediaWebsiteWord of MouthHalls for HireOther
Please specify:
Room Hire Agreement
Acceptance of Room Hire Agreement Acknowledgement

I acknowledge that:
- I have read and understood the conditions of Hiring the Room.
- Where the Hirer is a company or an incorporated association, I am authorised by the Hirer to complete this application form on their behalf.
- I understand that, by signing this form, I am personally responsible for ensuring that users comply with the conditions of hiring. Should the users breach any of the Room Hire Conditions, I shall be personally responsible for any such breaches, including any damage to the Room.
- If I contact the afterhours Yarrunga Community Centre emergency number and I am found to be at fault, I understand that I will be responsible for all associated charges.
- Hirers must ensure that the level of sound coming from YCC does not reach a level where it would interfere with the residents of surrounding properties and does not exceed EPA guidelines.
Signature*

Clear
Date*
Should be Empty:

Application for Hire (Business)

Room Hire Details

Additional Information

Driver's Licence Details

Insurance

How did you hear about us?

Room Hire Agreement