LeisureFit Booragoon Booking Application Request Form

LeisureFit Booragoon - Booking Application

521 Marmion Street Booragoon WA 6154
Club / Group / School
First Contact Name

First NameLast Name
Email
example@example.com
Phone number
Second Contact Name

First NameLast Name
Email
example@example.com
Contact number
Booking type

Other
Booking frequency
Number of participants
Note: 100+ may incur additional costs
Age range of participants
For school bookings only
Number of spectators (if applicable)
Please indicate which aquatic area/s you wish to utilise
Please indicate the number of 50m Pool lanes required
Please indicate the number of Dive Pool lanes required
Please indicate the number of 20m Pool lanes required
Please indicate which area/s you wish to utilise
Do you require any additional resources?
Please indicate number of items required
Which day/s would you like to book?
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Please indicate the start time and finish time. Be sure to specify the days if you are choosing more than one day
Please indicate any exclusion dates if appropriate ie. public holidays, school holidays etc
Do any of your participants or group leaders have any medical conditions or other considerations we should be mindful of?
Please upload your Public Liability Insurance

Cancelof
Please sign
Your personal information is collected by the City of Melville LeisureFit for the purpose of administering your request and providing relevant updates about LeisureFit programs and services. Your information may be shared with authorised City staff and trusted systems we use to manage bookings and communications. You can request access to or correction of your information at any time. If you choose not to provide this information, we may be unable to process your request.

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LeisureFit Booragoon - Booking Application