Application for Hire - Casual Hirer » Wollondilly Shire Council

Please fill in this form if you wish to hire a hall on a casual basis.

Application For Hire - Casual Hirer

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

I have read and understand the conditions of hire.

Hirer Details

Name of Hirer/Organisation

Applicant (Name)

Position Within Organisation

Phone

Postal Address

Facility Requirements

Facility Name

Area Required

Date of Hire

Starting Time

Finishing Time

Purpose of Hire (wedding, birthday, etc.)

Additional Information Required

Number of Adults Attending

Number of Children Attending

If yes, a copy of the appropriate liquor licence must be provided

If yes, please upload proof of Not for Profit status

If yes, please provide details

Public Liability Insurance

If you answered yes to any of the above questions you will need to provide your own public liability cover. Please upload it with your application. Casual Hirer's Insurance is available for those hirers who answered no the the above questions.

Nominated Person Responsible for Keys

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

Number of Keys Required

Person 1

Name

Address

Phone

Person 2

Name (if applicable)

Address

Phone

Hire Agreement

I, the hirer confirm that I am over 21 years of age.

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.

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)

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