Campaspe Open Spaces Booking Form

Campaspe Open Spaces Booking Form

Please submit this form to request a booking at one of Council's Open Spaces
Please select the / Open Space you wish to book*
Before moving to the next page, please check the availability of the open space via the following online calendars (this will open a new tab):
- Open spaces in Campaspe including:
Alton Reserve Echuca

Echuca Apex Park

Echuca Aquatic Reserve

Echuca East Open Space

Hopwood Gardens Echuca

Kyabram Memorial Gardens

Onion Patch Echuca

Tongala Village Green & Soundshell

Victoria Park Boat Ramp
You have selected {recreationReserve6}. Please ensure you have checked it's availability on the previous page before requesting date/s and times.

Further information on Council's Community facilities can be found on our website https://www.campaspe.vic.gov.au/Recreation-events or by contacting Customer Service on Ph 1300 666 535
Submitting this form does not guarantee a booking and all booking requests are subject to review and approval as confirmed in writing by Campaspe Shire Council. In making this application it is hereby acknowledged that I/we have read, understood and agree to comply with the "Conditions of Use" provided. I/we agree that no use of the facility will be made until such time as a copy of the Certificate of Currency for insurance is provided where required. I/we agree that I am/we are liable for the cost of repair for any damages caused during the hire period. Any breach of the Conditions of Use will result in the loss of bond paid.
Section A: Booking Details
Do you require multiple days?*

YesNo
Recurrence*

Single DayDailyWeeklyMonthly
Initial or start date*

DayMonthYear
Date
For multiple days
Proposed start time*

:HourMinutesAM/PM Option
Proposed end time*

:HourMinutesAM/PM Option
If your booking requires more than one date, please specify additional dates and times below. Alternatively, enter a start date and an end date.
Date 2 or end date

DayMonthYear
Date
Proposed start time 2

:HourMinutesAM/PM Option
Proposed end time 2

:HourMinutesAM/PM Option
Date 3

DayMonthYear
Date
Proposed start time 3

:HourMinutesAM/PM Option
Proposed end time 3

:HourMinutesAM/PM Option
Additional dates and times
If there are further dates, please specify additional dates and times in the box above.
Type of use - Casual Booking*
A brief outline of the booking (e.g. Birthday party).
Will alcohol be consumed?*
Expected number of people*
Will you be selling or preparing food?*
If yes, refer to the Conditions of Use regarding food permits.
If alcohol is being consumed at your event, a Temporary Limited Liquor Licence may be required. For information on Liquor Licensing you can contact the Victorian Commission for gambling and Liquor Regulation on Ph 1300 182 457 or at http://www.vcglr.vic.gov.au/

Hirers need to register their event with the local police and complete a PartySafe Form.

If required, a copy of your liquor licence and PartySafe Forms must both be attached below.
Upload Liquor Licence and PartySafe Form

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Cancelof

Section B: Contact Details

The Contact Person provided will receive all communication regarding this booking including payment details. Please ensure correct email and phone numbers are provided.
Hirer Name / Business / Organisation / Club*
Note: if the booking is not being made on behalf of an organisation (e.g. club, association), please enter "N/A"
Contact Person Name*

First NameLast Name
Phone / Mobile Number*
Contact Person Email*
example@example.com
Contact Position
e.g. President, Secretary, Event Manager
Mailing Address*

Street Address

Street Address Line 2

CityState

Postcode
Alternative Contact Person Name

First NameLast Name
Phone / Mobile Number
Email
example@example.com
Position
e.g. President, Secretary, Event Manager
Additional contacts if required:

Section C: Insurance, Fees & Charges

Note that if your equipment remains at the facility overnight preventing use by other groups (for example if you set up for an event the day before) you will be charged for this usage. Depending on the nature of the booking, some events at open spaces may include a charge for utilities such as lighting costs. If you are unsure about the cost of your hire please speak to Shire staff Ph 1300 666 535
Do you have Public Liability Insurance?*

YesNo - council's Public Liability Insurance is available for an additional cost of $30
If you have Public Liability Insurance, please attach a copy of your Certificate of Currency below, which confirms your insurance policy is in force for the duration of use. Commercial hirers shall maintain during the currency of each hire a public liability insurance policy to the value of at least $20,000,000 in the names of the hirer and noting the Campapse Shire Council as Principal (this is a simple matter of contacting your insurer who will issue you with a certificate at no charge).

Schools belonging to the Department of Education are not required to provide a copy.
Attach Certificate of Currency

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Cancelof
Please note that if over 100 people will be in attendance, or if specific infrastructure is required, please check the ‘Event Ready Reference’ – located on the events page of the Council Website at www.campaspe.vic.gov.au prior to completing this form. The hirer will need to determine if the nature of the hire is classed as an ‘Event’. If so, there are specific requirements that need to be met. Eg a POPE (Places of Public Entertainment). Information on POPEs can be found on the Council website at https://www.campaspe.vic.gov.au/Recreation-events/Events

As part of council's commitment to environmental sustainability, all events held on council owned or managed land are required to meet a minimum Star 1 Waste Wise rating. Events that are Waste Wise support recycling and minimise waste sent to landfill. For more information on waste wise event planning please visit https://www.campaspe.vic.gov.au/Our-services/Waste-recycling/Waste-wise-event-planning
Any other comments
Signature
Email8
example@example.com
Should be Empty:

Campaspe Open Spaces Booking Form

Section A: Booking Details

Section B: Contact Details

Section C: Insurance, Fees & Charges