Personal Details
(Note that your name, organisation, and email address will appear on our public Google Calendar and our material unless otherwise advised.)
Title
Please Select
Mr
Mrs
Ms
Miss
Dr
Prof
Rev
Other
Name
*
eg. Jane Citizen
Organisation
Email
*
Confirmation Email
eg. example@example.com
Phone
*
Fax
Driver's Licence
*
Address
*
Street Address (eg. 175 Bains Road)
Street Address (if needed)
Suburb (eg Morphett Vale)
State
Postcode
Booking Details:
Type of Event
Conference
Public Event
Training
Meeting
Birthday Party (please specify age in text box below)
Celebration (please specify type of celebration in text box below, eg. baby shower, engagement, bridal shower)
Other (please specify in text box below)
Event information
Start Date
*
-
Day
-
Month
Year
End Date
*
-
Day
-
Month
Year
Start time
eg. 9 am
End time
eg. 11 am
Number of attendees
*
Room required
Please Select
Room 1
Room 2
Rooms 1 & 2
Room 3
Room 4
Room 5
Room 6
Office 4
Computer Training
Kitchen
Requirements
Facilities required
Kitchen
Projector (VGA cable not supplied)
Creche
Further information
Public View Booking
Private Hire
Organisation Name
Attach relevant documents
Budget Line (City of Onkaparinga users only)
Promotional material?
Please tick here if you would like to receive occasional promotions from the Woodcroft Morphett Vale Neighbourhood Centre.
Bond Return Details
(Hirer to complete)
Account Name
BSB
Account Number
I have read and agreed to abide by the Hall Hire terms and conditions as stated in the Hall Hire pack.
*
I agree
I have fulfilled the requirements of the Children and Young People (Safety) Act 2017 (if applicable).
Yes
Submit Form
Child Safe Environments Working Partnerships
All service providers, partners or organisations that provide services or activities, wholly or partly for children confirm that they have fulfilled their requirements of the Children and Young People (Safety) Act 2017 prior to the provision of the service. The Licence Holder/Hirer must provide a current Working with Children clearance if requested to do so. Please refer to families.sa.gov.au for further information. Please refer to www.screening.sa.gov.au for further information.
(OFFICE USE ONLY)
BOND REFUND
Refund amount
Other information
Amount refunded
Date
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform