Nhill Memorial Community Centre Expression of Interest Booking Form

Nhill Memorial Community Centre Expression of Interest Booking Form
Please complete this form if you are interested in booking the Nhill Memorial Community Centre. Please note that a booking isn't final until a Hall Hire Agreement Form has been completed and signed off by Council.
Applicant name:*

First NameLast Name
Group/Organisation name:
Email:*
example@example.com
Contact number:*
Please enter a valid phone number.
Reason for hire:*
Proposed hall hire start date/time:*

DayMonthYear
Date
Hour MinutesAM/PM Option
Proposed hall hire end date/time:*

DayMonthYear
Date
Hour MinutesAM/PM Option
Do you require additional time for setting up and/or packing up? Please note that requiring access to the hall the day before/after will incur additional charges.*
If your hire is reoccurring, please provide more details below:
Will you require use of any of the following hall facilities:

Sound system and equipmentStage lighting equipmentDigital projector screenStage (including backstage facilities)Kitchen (including bar, cool room, fridges, oven, stove and dishwasher)TableclothsBaby Grand PianoOther (specify below)
Will there be alcohol supplied or sold during your hire?*

Yes - we are planning to sell alcohol and will obtain a Temporary Liquor LicenceYes - we are supplying free alcohol to a private functionNo - we are not selling or supplying alcohol
Do you have public liability insurance?*

Yes - I will provide a copy of the Certificate of CurrencyNo - I will fill out an application for Public Liability Insurance through Council
If you are planning to serve alcohol at your event, please ensure you comply with all Victorian Liquor Regulation requirements. Further information can be found at the Victorian Commission for Gambling & Liquor Regulation website at:
https://liquorportal.vcglr.vic.gov.au/liquorportal/.
Do you have any other comments or questions?
What is your best contact method?*

EmailPhone
What happens next?
After you have submitted this form, Council will contact you within 3-5 business days to discuss your hall hire request.
Should be Empty: