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Clyde North
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Home
About Us
Programs
Volunteer
Venue Hire
Contact
Venue Hire Application
Applicant Details
Name of organisation/group
Contact Person
Position
Email
Street Address
Suburb
Postcode
Mobile
Phone (Business Hours)
Phone (Afters Hours)
Event Details
Please note that we do not hire the facility for private functions.
Proposed Days
Proposed Dates
Proposed Start and Finish Times
Please provide a brief description of the activities/services/event you wish to conduct at the centre
Estimated number of people attending the activity/service
Room(s) Required
Hall 1
Hall 1 & Kitchen
Hall 2
Kitchen
Kitchen & Training
Training Room
The Lounge
Meeting Room 1 or 2
Meeting Room 1 & 2
Consult Room 1
Consult Room 2
Do you intend to provide food or drinks during your activity?
Yes
No
What equipment do you require?
Microphone
PA System
Stage
Tables - Oval
Tables - Trestle
Chairs
Whiteboard
Room Divider
Projector
What equipment do you intend to bring?
Notes
Group Details
Is you group:
Not for profit Community Group
Not for profit Community Agency
Business
Is you group incorporated?
Yes
No
Does your group have public liability insurance coverage?
Yes
No
Brief description of your organisation’s purpose and target group, e.g. families, young people, ethnic group etc.
Where does your group currently meet?
How many of the people participating in your activity live in City of Casey?
How many of the people participating in your activity live in Cranbourne?
Agreement
I hereby apply to hire the Balla Balla Centre facilities details as completed above.
I certify that I have been issued with BBCC Conditions of Hire Agreement which I have read and understood and I will comply with all conditions detailed in that document.
Where the hirer is a company or incorporated association, I am authorised by the hirer to complete the Application Form on the hirer’s behalf and acknowledge that I am personally responsible for ensuring that the hirer complies with the conditions of hire.
The hirer agrees to pay the public liability insurance charge of $25per instance of hiring, or provide a current copy of Hirer’s Public Liability Insurance Certificate.
The hirer(s) hereto agree to indemnify and to keep indemnified and to hold harmless the Council, its servants and agents and of each of them from and against all actions, costs, claims, charges, expenses and damages whatsoever which may be brought or made or claimed against it or any of them arising out of or in any way related to the hire of the facility herein.
The hirer(s) agree to adhere to additional conditions as per Schedule 42, schedule 3 in BBCC Conditions of Hire in regards to Covid-19 Pandemic.
Agreement
I Agree to the Terms and Conditions Above
Applicants First Name
Applicants Last Name
Witness First Name
Witness Last Name
Witness Address
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