Beach Wheelchair Hire Form
Please note: Completing the online booking form does not guarantee your booking. Your booking is only confirmed once you receive a confirmation email from us.
Are you a school or Community Organisation:
*
Yes
No
School or Community Organisation Name:
Please note that upon approval of your request, we will need a copy of your public liability emailed to us at bookings@boyneislandeec.eq.edu.au (Qld State Schools excluded from providing this information to u)
Contact Name:
*
First Name
Last Name
Contact Email:
*
example@example.com
Contact Mobile Phone Number:
*
Please enter a valid phone number.
Format: 0000-000-000.
Preferred Pick Up Date
*
-
Day
-
Month
Year
Monday to Friday 8am - 3pm
Preferred Pick Up Time:
*
Monday to Friday 8am - 3pm
Preferred Return Date:
*
-
Day
-
Month
Year
Monday to Friday 8am - 3pm
Preferred Drop Off Time:
*
Monday to Friday 8am - 3pm
Location for Use:
*
If applicable, have you reviewed the Fee Schedule and Cancellation/Alteration Policy for 2027?
Click HERE to review
*
Yes
No
Submit
Should be Empty: