Application for Alteration to Hire of Community Halls and Centres

NO CHANGE IN THE BOOKING IS CONFIRMED UNTIL A CONFIRMATIONLETTER IS RECEIVED FROM COUNCIL

Facility Information

Name of Facility *

Date of Hire *

Contact Details

First Name *

Last Name *

Organisation

Address *

Contact Number *

Email Address *

PLEASE NOTE: THE PERSON WHO SIGNS THIS FORM MUST HOLD THE CURRENT HIRE AGREEMENT WITH COUNCIL

Do you wish to: *

Suspend (due to COVID19)CancelAdd ExtraModify

Number of Guests / Students / Participants *

Date(s)

Hours of hire

Any changes to a booking will require 10 days prior notice to receive a credit or refund.

Reason for Alteration

Privacy Statement

In submitting this form, you consent to Council:

Collecting your personal information as contained in the form; and
Using the information for the purposes outlined in the form and for any other Council function.

Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request.

You may access any of your personal information that Council holds upon request.

Declaration

I the hirer understand that the current Terms and Conditions of Hire of the Canterbury-Bankstown Council Facilities still apply to the above alterations. I agree to be fully responsible forthe payment of fees and any additional charges arising out of hiring in accordance with the terms and conditions that have been supplied to me previously in the Casual or Regular Hire Application. *

Applicant's Signature

Signature *

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