MSRCC Venue Booking Form

Murchison Sport, Recreation & Cultural Centre

82 Waller Street, Murchison 7007, Phone: 03 523 9360 Email: murchison.centre@gmail.com
Venue Booking Form

Once this form is submitted Centre staff will be in touch with you via email to confirm your booking.
Full Name of person making this Booking*

First NameLast Name
Organisation
Purchase Order Number (if required)
Event Name (if applicable)
Contact Number*

Area CodePhone Number
Contact E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
From*

DayMonthYear
To*

DayMonthYear
Time of Event*

AM/PM Option

Until
until

AM/PM Option
Total 0.0
Contact Name of person in charge on the day*
Contact Phone Number of person in charge on the day*

Area CodePhone Number
Do you require us to set up / pack down for you?*

Yes - We will be in touch to organise and quote thisNo - Please ensure you allow time for Set up and Pack down below
Access Time for Setup

Hour Minutes

AM/PM Option
Exit time after Packdown

Hour Minutes

AM/PM Option
Maximum Number of Guests (Capacity of rooms below)*
Space(s) Requested*

Entire Centre (Max 650 ppl)Kinzett Farming Function Room (Max 150 ppl)Pettigrew & Topping Sports Hall (Max 500 ppl)Lions Den Meeting Room (Max 15 ppl)Tutaki Honey Kitchen (Commercial Kitchen, caters up to 150 ppl)BarPublic Domain / Sports FieldChanging Rooms (4x available)
Do you require any of the following (Select all that apply)

Wi-FiData ProjectorSound SystemWhite Board
Would you like us to send you local Catering options?*

YesNo
Bar Hire Details*

Full Bar Service (alcohol and staff supplied)Bar Service (staff supplied)Not Applicable
Cleaners to be hired? (This is an additional charge over and above the hire fee that will be added to your final invoice)*

YesNo
Will you require audiovisual equipment?*

YesNo
Please briefly describe your audiovisual needs

0/150
Safety Officer (Fire Warden) for this booking will be: *
As part of the booking you will need to appoint a safety officer who will be responsible for ensuring the facility is utilized as per the booking and all centre fire and evacuation procedures are followed in the case of emergency. All occupants must be advised of the nearest fire exit.
Please Read MSRCC Conditions of Hire, H&S Policy, Emergency Procedures, Contact Details and Safety Officer Duties.
Tick the boxes to confirm that you understand and have read / have on file the following:*

MSRCC's H&S PolicyEmergency Contact DetailsSafety Officer DutiesMSRCC's Emergency ProceduresIncident / Accident Form (Forms on-site)MSRCC's Risk / Hazard Register (Forms on-site)
Optional Information

Information in the following section is helpful for us to know, but not required until the booking is confirmed.
How many round tables are you requesting? (12 available)
Only applicable for Function Room/Sports Hall. Each table can comfortably seat 8-10.
How many high-top cocktail tables are you requesting? (2 available)
Only applicable for Function Room/Sports Hall
How many long tables are you requesting? (20 available)
How many chairs are you requesting? (up to 150)
Are you a non-profit organization?

YesNo
Any other questions or comments
Indemnity:

I hereby agree that in the event of any damage being caused to the Centre or any furniture, equipment or fittings or other articles or property belonging to the Murchison Sport, Recreation and Cultural Centre or Tasman District Council or to loss thereof during the period of hire of the Centre or any part of the Centre and/or Grounds, that I will at my own expense make good all such damage or loss, and in the event of my failing to do so within seven days after the occurrence of such damage or loss, I hereby irrevocably license and authorize the Murchison Sport, Recreation & Cultural Centre Incorporated to make good all damage or loss and hereby agree to indemnify the Murchison Sport, Recreation & Cultural Centre Incorporated and Tasman District Council against all proper charges and expenses in respect thereof.
Please note that submitting this form does not guarantee your event.

After submitting this form, somebody from the Murchison Sport, Recreation & Cultural Centre will be in touch with you by e-mail to confirm the booking.
Signature*
Date*

DayMonthYear
Check for errors and submit

Please check your form for errors and if ready to submit, read the following statement, check the box and click Submit Request to Book.
Should be Empty:

Murchison Sport, Recreation & Cultural Centre

Venue Booking Form

Optional Information

Indemnity:

Check for errors and submit