Clone of Function Centre Booking Request Form

  • Function Room Booking Request Form

    Rutherford Function Room

  • Hirers Details

  • Format: 0400000000.

  • Payment Options

    Select one option and provide the relevant details below
  • Preferred method of payment*

  • Invoice Information

    Strictly for businesses, organisations, clubs or associations only

  • Booking Details

    Tell us about your event/booking requirements

  • VIEW HIRE FEES

  • Start date*
     - -
  • End date*
     - -
  •  :
  •  :

  • Set up requirements

  • How would you like the room set up?*

  • 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 you be catering this event?*
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  • Do you require use of the kitchen? Additional hire fees apply*

  • Application - Permit to consume alcohol on Shire of Harvey property

    Important information
    1) Applicants must be 18 years of age and over.
    2) This application is a request for permission to consume liquor at a Shire Facility ONLY. Under no circumstances does it give the hirer authorisation to sell liquor directly or indirectly, or change an entry fee into a function.
    3) Approval to sell liquor must be obtained from the Department of Local Government, Industry Regulation and Safety.
    4) If approved, the original permit will be returned to the application. This permit must be ready for inspection at the facility on the date(s) of the scheduled booking.
    5) This application must be submitted at least 5 working days prior to the event

    Application form

     

  • Approval to sell alcohol/liquor must be obtained from the Department of Local Government, Industry Regulation and Safety.

    Your booking cannot be confirmed until you have provided a copy of your liquor license, permit and conditions in relation to your booking.

    Apply here 

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  • Please read our Terms and Conditions below to sign and submit the form.

    • Terms & Conditions 

    • Disclaimer
      The Shire of Harvey accepts no responsibility for any injury sustained by participants or non-participants while using the facilities, whether caused by themselves, another  person or otherwise.

      The Shire of Harvey is not liable for any loss of or damage to personal property brought into the Centre.

      This disclaimer does not apply where injury, loss or damage is caused by the negligent or unlawful act or omission of the Shire of Harvey or its employees, officers, contractors or agents.

      Bookings and Payment
      All bookings must be confirmed prior to use.
      Full payment is required prior to the booking unless otherwise arranged.

      An additional Duty Manager fee may apply for bookings outside normal operating hours.
      Regular users may be invoiced monthly in accordance with agreed arrangements.

      Cancellations
      A minimum of 24 hours’ notice is required for cancellations.
      Failure to provide sufficient notice will result in the full hire fee being charged.

      Use of Room
      The meeting room is to be used only for the approved purpose and within the allocated booking times, including set-up and pack-down.

      The hirer is responsible for ensuring the room is left clean, tidy, and in the same condition as found.

      Damage
      The hirer is responsible for any damage to the room, equipment or facilities caused during the hire period through misuse or negligence.

      Any damage or maintenance issues must be reported to Centre staff as soon as practicable.

      Behaviour
      All users must behave in a safe, respectful and orderly manner.

      The Centre Manager or Duty Officer reserves the right to refuse entry or remove any person or group whose behaviour is deemed inappropriate or disruptive. This may result in cancellation of current or future bookings.

      Food and Beverage
      Food and non-alcoholic beverages may be consumed in the function room unless otherwise advised. The hirer is responsible for all cleaning and waste removal.

      Any catering must comply with relevant food safety requirements.  LLC does not offer catering services.

      The consumption or sale of alcohol is subject to approval by Shire of Harvey and Department of Local Government, Industry Regulation and Safety.

      Equipment
      Any Centre equipment used must be operated appropriately and left in good condition.

      Hirers must not bring in electrical equipment unless it is safe, compliant, and in good working order.

      Security
      The hirer is responsible for the security of the room during the hire period and must follow all instructions provided by staff when entering and leaving the facility.

      Medical and First Aid
      First aid assistance is available from Centre staff if required. Emergency services will be contacted where necessary.

      Any costs associated with medical treatment or ambulance services are the responsibility of the individual involved.

      Emergency Procedures
      In the event of an emergency or evacuation, all users must follow the directions of Centre staff and evacuate immediately when instructed.

      Liability and Compliance
      The hirer agrees to comply with all relevant laws, regulations, and directions from Centre staff while using the facility.

      Acceptance
      By proceeding with a booking, the hirer acknowledges and agrees to these Terms and Conditions.

       

    • Date:*
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    • Should be Empty: