Oval Booking Form

Oval Booking Form
Hirer's details
Organisation Name:
Team Name:
Contact Person:*
Full name
Phone Number*
Email*
example@example.com
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Contact:*
Full name
Phone Number*
Email*
example@example.com
Postal Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment details

One must be chosen and filled in complete
Option 1: To be invoiced
Name of organisation to be invoiced:
Email address of organisation:
example@example.com
Postal address of organisation:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Option 2: Pay on arrival*

In fullWeeklyOther
Purchase order number
Booking details
Description of event*

TrainingTrialsGamesCarnivalOther
Activity*

SoccerRugbyCricketAFLArcheryOther
Seasonal booking*
Casual booking*
Day*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Start date*

DayMonthYear
Date
End date*

DayMonthYear
Date
Dates not required*
Important Information

Please note centre opening hours are as follows:

Monday to Thursday: 5.45am to 8pm
Friday: 5.45am to 7pm
Saturday: 8am to 4pm (Winter), 8am to 5pm (Summer)
Sunday: 10am to 4pm (Winter), 10am to 5pm (Summer)
Public Holidays: 8am to 12pm
I have read and understand the above opening hours of the LLC:*

YesNo
Start time*

:HourMinutesAM/PM Option
Finish time*

:HourMinutesAM/PM Option
Number of participants*
Oval*

Oval 1 Rugby and CricketOval 2 ArcheryOval 3 CricketOval 4 Soccer and CricketOval 5 AFLOval 6 AFL
For ovals 3, 4, 5 & 6 changerooms please contact Leschenault Sporting Association on thepav@lsa.org.au
Changerooms required?*

Oval 1 Rugby and CricketOval 2 ArcheryNone
LIGHTS ON TIMES

January to February: 7pm

March: 6.30pm

April to August: 5.30pm

September to October: 6pm

November: 6.30pm

December: 7pm

Light charge is $19 per hour

ALL keys must be returned to the centre drop box after use.
Will lights be required?*
KITCHEN HIRE (only availble when booking ovals 1 or 2)
Kitchen hire required*
Important
Will the general public be involved?*
If yes, how many expected?
Will an entrance fee be charged? *
If yes, council approval must be sought.
Is this a fundraising event? *
If yes, which organisation will benefit?
General information
What will you be bringing into the centre? *
Letter of compliance for electrical equipment attached? *
Compliance for electrical equipment

Browse Files

Cancelof
Please supply any other information about your booking and additional requirements *
Catering

LLC Food and Beverage Department is able to cater for your functions. A number of catering options are available. If checked yes then our Food and Beverage Coordinator will contact you shortly
Do you require catering? *
Food and alcohol

The Food Act 2008 is in force in WA. As a result, all hirers that serve or prepare, supply and/or sell food on the premises of the Leschenault Leisure Centre and Recreation Park MUST provide evidence attached to the booking application that the hirer and/or contracted catering company is registered with their local authority under the provisions of the Food Safety Standards.
Will liquor be consumed during the event/activity?*
Will liquor be sold during the event/activity? *
Will food or soft drink be for sale during the event/activity *
Liquor license if liquor being sold during event/activity

Browse Files

Cancelof
Evidence of catering company being registered

Browse Files

Cancelof
Cameras and video equipment

Written permission must be sought from the centre manager for photographs and videos to be obtained during the function
Are you allowing your members to take photos and video footage during your booking?*
Public liability insurance

The Shire of Harvey will not be responsible for any injury suffered by either participant or non-participant members of the group while using facilities: whether the injury be self-inflicted; caused by another member of the group; or caused by another person not associated with the group. The Shire of Harvey will not be liable in any way for any loss of, or damage to the property of the members of the group, whether members or non-members of the group cause the loss or damage. The above does not apply to the extent that any injury, loss or damage is caused or contributed to by the willful negligence or other unlawful act of omission of the Shire of Harvey or any of its employees, officers, agents or contractors. Please sign as having received a copy of the ‘Conditions of Hire – Leschenault Leisure Centre and agreeing to abide by the listed conditions.
Signature*

Clear
Date*

DayMonthYear
Date
Please open terms and conditions to sign and submit the form.

Terms & Conditions
CONDITIONS OF HIRE

INSURANCE

The hirer will need to provide their own Public Liability Insurance to a minimum amount of TWENTY MILLION DOLLARS ($20,000,000) any one occurrence. In addition, clubs and organizations that provide any form of paid or voluntary instruction or coaching during the period of hire must have adequate Professional Indemnity insurance in place to cover their own coaches or instructors. (Please provide proof of your insurance with this application).

DISCLAIMER

The Shire of Harvey will not be responsible for any injury suffered by either participant or non-participant members of the group while using facilities: whether the injury be self-inflicted, caused by another member of the group, or caused by another person not associated with the group.

The Shire of Harvey will not be liable in any way for any loss of, or damage to the property of members of the group, whether members or non-members of the group cause the loss or damage.

The above does not apply to the extent that any injury, loss or damage is caused or contributed to by the willful negligent or other unlawful act of omission of the Shire of Harvey or any of its employees, officers, agents or contractors.

SUPERVISION

The hirer will be responsible for the supervision and control of their group whilst at the Centre. A responsible adult must supervise children’s groups. Where there are both boys and girls in the group, they must be accompanied by at least one male and a one female supervisor. Supervisors are obliged to accompany the children in their care in all areas of the facilities being used, including the changing rooms. Children’s groups using the pool are required to have at least one supervisor per 15 children in their care. For children under 5 the ratio is one supervisor in the water to one child in the water. Supervisors are to ensure that all children shower before entering the pool. Supervisors of all groups using the pool should have obtained the Bronze Medallion Qualification as a minimum.

WORKING WITH CHILDREN CHECK

The Working with Children Check (Criminal Record Checking) Act 2004 aims to protect children from harm by providing a high standard of compulsory national criminal record checking for people wishing to do paid, unpaid or volunteer child related work.

The Working with Children Check (WWC Check) is a requirement for individuals in child related work. Any user group who hire the Leschenault Leisure Centre and Recreation Park facilities and are working with children are responsible for ensuring that all persons involved in child-related have a valid Working with Children Check card or qualify for an exemption.

CONDITIONS OF FACILITY AND EQUIPMENT

The hirer will be responsible for maintaining the condition of the facility. It is the responsibility of the hirer to ensure all litter is picked up and placed in the correct receptacles at the end of the booking. The use of nails, hooks, staples or any other fixing device is prohibited. Failure to leave the facility in an acceptable condition may incur additional costs for extra cleaning staff or cancellation of future bookings.

ELECTRICAL EQUIPMENT

Hirers are not permitted to bring into the Centre any electrical equipment unless a letter of compliance by an electrician is attached to the booking application stating that the appliance has been checked in accordance with AS3760.

SMOKING

Users are reminded that the Centre is no smoking.

FOOD AND BEVERAGE

Eating or drinking is only allowed in the area surrounding the servery. Food and drink is prohibited on all playing surface areas of the centre. Water bottles with re-sealable lids are permitted.

The Food Act 2008 is now in force in WA. As a result, all hirers that serve or prepare, supply and/or sell food on the premises of the Leschenault Leisure Centre and Recreation Park MUST provide evidence attached to the booking application that the hirer and /or contracted catering company is registered with their local authority under the provisions of the Food Safety Standards.”

KEYS / SECURITY

Regular users and affiliated clubs may apply for a key and will be issued with a security code. The alarm must be set by a responsible person when departing the centre. Failure to set the alarm or entry in any other area of the centre will result in a call out by Security which will be charged to the hirer.

BOOKINGS

All bookings must be on the official application form. Booking times must be adhered to so that all groups can use the centre on an equal basis. Setting up and packing up time should be booked and paid for, as other groups cannot use this time. Groups that do not adhere to their booking times will be charged for the extra time used and may put future bookings in jeopardy.

BONDS

A bond and key bond as per the fee schedule will be applicable to all bookings. The bond is held against the following: damage to the building or equipment, additional cleaning or breach of the conditions of hire.

DRY AREA BOOKINGS

Groups that book the Sports Hall, Function room, conference room, or group fitness room must have a responsible adult overseeing all activities. All clubs storing equipment on LLC premises are strongly advised to insure their own equipment and that all fridges on premises are to be left unlocked.

PROVISION OF TABLES AND CHAIRS

Please note that the centre has a limited number of tables and chairs for hire. Please discuss requirements at the time of making of your booking. Provision of extra tables and chairs is the hirer’s responsibility.

AQUATIC AREA BOOKINGS

Schools accepting aquatic education teaching responsibilities are reminded:

a) Student/staff ratio must be in accordance with ‘Guidelines for Safe Pool Operation’.

b) A copy of Public Liability Insurance for a minimum of $10 million must be attached to the booking form.

c) Teachers must attach a copy of their AUSTSWIM if qualified however, CPR and First Aid certificates are mandatory.

Groups accepting aquatic supervisory responsibilities are reminded:

e) Student/staff ratio must be in accordance with ‘Guidelines for Safe Pool Operation’.

f) A copy of Public Liability Insurance for a minimum of $10 million must be attached to the booking form.

g) Supervisors must attach a copy of their CPR and First Aid certificates to the booking form.

DAMAGE

Any breakage of equipment due to misuse or incorrect use is the responsibility of the hirer. Please report any broken or non-working equipment to Centre staff.

FOOTWEAR

Appropriate non-marking footwear is required at all times in the sports halls. Any shoe that will mark or damage the sports hall floors is not permitted.

BOOKING FEES

For bookings outside normal hours an additional Duty Managers fee may be charged. Full payment is required on the day of the booking prior to the use of the Centre unless otherwise arranged. Accounts will be sent out for regular bookings each month. Cheques should be made payable to “Shire of Harvey.”

CANCELLATIONS

All bookings that are not cancelled with 24 hours’ notice will be charged at the full rate. Hours used above booked time will also be charged at the full rate.

CONSUMPTION OF ALCOHOL ON PREMISES

Alcohol is not generally permitted in the centre, except in circumstances approved by the Manager and subject to the provisions of the liquor Control Act 1988. Alcohol is not permitted in any circumstances in the Aquatics area. Permission to consume liquor in areas other than the aquatics area must be obtained in writing from the Centre Manager. If alcohol is to be sold the appropriate license must be attached to the booking application.

BEHAVIOR

The Manager or Duty Officer shall have the right to expel any person or group using the facilities, should their action or conduct be considered prejudicial to the proper use of the Centre. Future bookings may also be cancelled and a fine imposed under the Council’s local laws.

MEDICAL / FIRST AID

The Centre strongly recommends that you see your doctor if you have any doubts in your mind whatsoever regarding the participation of any activities, by any member of the hiring group, in the Leisure Centre.

Should any injured person require first aid, please contact a member of staff at the Centre. The Centre staff will call emergency services should they deem it necessary. Injured parties will be liable for any costs that may result. Users are strongly advised to be members of the Ambulance Service. All groups are responsible for bringing a list of appropriate medical conditions for all participants each time they enter the facility.

EMERGENCY PROCEDURES

If evacuation is required centre staff will warn people to evacuate. You must follow the instructions of staff at this time and leave the building.

CAMERAS / VIDEO EQUIPMENT

Cameras and video equipment are not to be used in the Centre unless prior written permission has been sought from the Centre Manager.

I have read, understood and agreed to the conditions of hire.
Name*

First NameLast Name
Date*

DayMonthYear
Date
Signature*

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Should be Empty:

Oval Booking Form

Important

General information

Catering

Food and alcohol

Cameras and video equipment

Public liability insurance