Application for Hire - Regular Hirer

Please read Conditions of Hire for Council Halls & Community Centres before completing this form.

Hirer Details

Facility Requirements

Additional Information Required

If you do intend to sell alcohol, please upload your Liquor Licence

Public Liability Insurance

Proof of your Club/Organisations Public Liability Insurance Policy (minimum coverage required $10,000,000) in the form of a Certificate of Currency must be provided with your application. Please attach a copy to this application.

Nominated Person Responsible for Keys

There is a refundable key deposit of $25.00 for each key issued

Person 1

Person 2

Hire Agreement

I have read and understand the accompanying Conditions of Hire. I understand that the Management Committee or Council reserve the right to cancel Approval to Hire if:

I have read and understand the accompanying Conditions of Hire.  I understand that the Management Committee or Council reserve the right to cancel Approval to Hire if:

  • Payment is not made by the due date;
  • Any significant change to the original intended purpose for the use of the facility occurs;
  • The conditions of Hire are breached.

I undertake to be responsible for the payment of Fees, Charges and Bonds fixed by Council for hire of the facility and any additional charges arising out of hiring in accordance with the Conditions of Hire and which we agree shall apply to and form the basis of this application. 

New Hirer’s must provide proof of identity. A Drivers Licence or similar original proof of identity document is to be sighted by a Council Officer or Management Committee representative prior to the release of the keys to the facility.

Privacy Statement:  Wollondilly Shire Council is collecting personal information from you on this form for the purpose of assisting the determination process of your application.  This information is required by law and failure to provide the information may lead to rejection or delays of your application.  At any time you have the right to access, view or correct the personal information that you have provided.  Please also note that information supplied on this document may be the subject of a request to access information under the Government Information (Public Access) Act 2009 (GIPPA)