Venue Hire Application

First name *

Last name *

Organisation *

Address *

City *

State / Province / Region *

Postcode *

Phone number (1) *

Phone number (2) *

Email address *

Date from *

Date to *

Time from *

Time to * (Including Clean up time - No bookings after 9pm)

Purpose of Booking *

Number of participants *Please indicate how many people you are hoping to host at the venue.

Type of Function? *Non Function - (Training - Meeting - Club Activity)Function (Children’s Party – Social Gathering)

Facilities Required: Please select *Griffith HallGriffith Meeting RoomNarrabundah HallNarrabundah Meeting Room

Optional Extras: Please Select *Data ProjectorSound System

(a) Do you have Public Liability Insurance? (b) Do you have a Certificate of Incorporation or are you a NFP? *(a) YesNo(b) YesNo

*All Hirers are required to have Public Liability Insurance in a sum of not less than $10,000,000. A copy of the Hirer’s Insurance Letter of Currency must be provided at the time of booking confirmation. Hirers are advised to consult with their own insurance company to arrange their insurance. If this is not possible, the following information is a recommendation ONLY: Insurance for one day activities/events can be purchased from the following provider/s: www.localcommunityinsurance.com.au www.netinsure.com.au

Please add any additional comments or questions below:

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