Nature of the Event: (e.g. children’s party, adults’ party, concert, meeting etc) *
Your answer
Name of hirer: *
Your answer
Mobile number: *
Your answer
Email: *
Your answer
Address: *
Your answer
First access to the hall: *
Time
:
AM
PM
Event start time: *
Time
:
AM
PM
Event finish time: *
Time
:
AM
PM
Final departure after pack-up and clean-up: *
Time
:
AM
PM
Extra equipment required: *
Required
How many tables for adults are required? *
Your answer
How many chairs for adults are required? *
Your answer
Approximately how many people do you expect to attend?
Babies & pre-school children: *
Your answer
Primary school aged children: *
Your answer
Teenagers: *
Your answer
Adults: *
Your answer
Do you expect to serve alcohol? *
Required
Questions and comments
Your answer
Public Liability Insurance *
Required
Fees
Basic fee for first 3 hours: Wood Hall $210 (extra hrs $70ph); Memorial Hall $285 (extra hrs $95ph).
Indicate the total calculating and specifying the following:
- Basic fee (3 hours) + fee for extra hours (if applicable)
- Insurance ($60)
- Any equipment hire (if applicable)
- Security deposit ($200)
This will be confirmed and payment details provided in your confirmation email
*
Your answer
To return security deposit please provide your account name, BSB and account number: *
Your answer
Declaration
I confirm that I have read, and understand, and accept my responsibilities, as expressed in the Hiring Information Pack, and on that basis apply for the hire of the Hall(s) as indicated above. The hiring information pack can be found at https://www.christchurchhawthorn.org/s/CCH-Hall-Hire-Info-2022.pdf
Signed by the hirer: (name) *
Your answer
Date of signing: *
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