Request for Hire - Kambalda Facilities

Please read the full terms and conditions here.

APPLICANT INFORMATION (ALL FIELDS MUST BE COMPLETED)

Not-For-Profit*This field is required.
Food Consumption*This field is required.
Caterer Details*This field is required.
Have you used this Facility before*This field is required.
Alcohol Consumption*This field is required.
Food Sold*This field is required.
Alcohol Sold
Liquor License
Will any structures be erected?
Security present
Qualified first aider onsite?
Days requested*This field is required.
FACILITIES or PARKS (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.