City of Wanneroo

Instructions

For enquiries that are of an urgent-nature that require immediate assistance or that relate to animals, parking, ranger assistance or other community safety matters, please call us on (08) 9405 5000

To ensure a timely and professional response, please complete this form with as much detail as possible.

Your personal information collected in this form will help us to complete your request or to improve our services, in accordance with the City's Personal Information Privacy Policy.

Annual Building Hire Application

Terms & Conditions / General Information / Policy Documents

I have read the 'Conditions of Hire - Council Facilities' linked above and agree to abide by the conditions therein. (Required)

ORGANISATION DETAILS

Organisation name (if applicable)

Organisation mailing address (if applicable)

Are you a registered business? (Required)

Are you an incorporated body? (Required)

Are you a registered charity? (Required)

Are you a not for profit organisation? (Required)

Please attach relevant organisation documentation (if applicable)

Please click below to upload files relating to this submission.

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CONTACT DETAILS (FIRST CONTACT)

Title (Required)

First name (Required)

Last name (Required)

Address (if not an organisation)

Suburb (Required)

Postcode (Required)

Daytime contact number

Mobile number (Required)

Email address (Required)

Position in organisation (if applicable)

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CONTACT DETAILS (SECOND CONTACT)

NOTE: These details must differ from the first contact details. A second contact must be provided to proceed with booking.

Title (Required)

First name (Required)

Last name (Required)

Daytime contact number

Mobile number (Required)

Email address (Required)

Position in organisation (if applicable)

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BOOKING INFORMATION

Building (Required)

If other, please specify

Do you require use of a kitchen or courtyard with this facility? (Required)

Yes

......

ROOMS REQUIRED

Room 1 (Required)

Number of attendees

Days required (Required)

Start and end time

Type of activity (Required)

Start date (Required)

End date (Required)

Dates not required during the year (eg: School holidays, public holidays etc) (Required)

Room 2

Number of attendees

Days required

Start and end time

Type of activity

Start date.

End date.

Dates not required during the year (eg: School holidays, public holidays etc)

Room 3

Number of attendees?

Days required.

Yes

Start and end time?

Type of activity?

Start Date

End Date

Dates not required during the year (eg: School holidays, public holidays etc.)

If other areas are required please use the comment field to list details:

ADDITIONAL INFORMATION

Do you require keys/swipe cards? (Required)

Yes

Do you still hold keys/swipe cards from a current booking? (Required)

Yes

If yes, what are they?

Will you be charging entry or fees for any of these bookings? (Required)

Yes

If yes, what are the costs?

Are you selling or consuming alcohol? (Required)

Do you require storage (if available) (Required)

Yes

If yes, what items will be stored and how will they be accessed (If you already have storage, please give details) (max 255 characters)

Any additional comments

Please provide details

Attach any relevant/supporting documents (liquor licence, public liability insurance, charity registration etc)

Please click below to upload files relating to this submission.

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Have you included any attachments in your application? (Required)

Yes

We have regular calls from the public requesting information. Do we have your permission to give your contact details to the callers should they be interested in your activity and are looking to join your group? (Required)

Yes

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