Request for Hire - Coolgardie Facilities

Please read the full terms and conditions here.

The Hirer must ensure current COVID safety measures and state mandates are being adhered to in relation to the facility being hired. It is the responsibility of the Hirer to ensure all attendees are fully aware of the current requirements and carry out the measures currently in place to help mitigate the spread of the virus. Please check the Shire’s online hire form for specific details.

To keep up to date with all COVID-19 requirements and event restrictions please visit https://www.wa.gov.au/government/document-collections/covid-19-coronavirus-events

APPLICANT INFORMATION (ALL FIELDS MUST BE COMPLETED)

Not-For-Profit*This field is required.
Food Consumption*This field is required.
Caterer Details
Have you used this Facility before*This field is required.
Alcohol Consumption*This field is required.
Food Sold*This field is required.
Alcohol Sold*This field is required.
Liquor License*This field is required.
Will any structures be erected?*This field is required.
Security present*This field is required.
Qualified first aider onsite?*This field is required.
Day Requested*This field is required.
FACILITIES (check all required)*This field is required.
EQUIPMENT (check all required) - Items marked with an * will be at an additional cost. Equipment must be signed out at the commencement of the hire and signed back in upon completion of your booking. All items are the hirer’s responsibility and are to be set up/packed away by the hirer within the designated booking time.
Layout /Seating





Do you agree to adhere to the terms and conditions (please see link above to download full terms and conditions.) By ticking yes, you confirm agreement with conditions.*This field is required.