Application to Hire Facility

Please enter details below to submit a request and one of our team will be in contact within 2 business days.

Please note - this is an application for hire and does not constitute a booking.
Bookings are not confirmed until a confirmation letter is issued to the hirer by Council.

Reason for hire *

First Name: *

Last Name: *

Company or organisation *

Address *

Street address *Street address line 2

City *

State *

Postcode *

Country

Email address: *

Phone number: *

Select your preferred location *

Type of hire *

Preferred Date *

Preferred date from *

Preferred date to *

Setup time

Start time *

Finish time *

Estimated Number & Age of Attendees

Adult

Child

Spectator

Carnival Entry

Select area of facility you wish to hire *

50mtr Outdoor Pool25mtr Indoor Pool Fitness Room

Select area of the facility you wish to hire *

50mtr Outdoor Pool25mtr Indoor Pool Fitness Room

Select area of facility you wish to hire *

50mtr Outdoor Pool25mtr Indoor PoolClub Room

Select area of facility you wish to hire *

50mtr Outdoor Pool25mtr Indoor PoolClub Room

Select area of facility you wish to hire *

50mtr Outdoor Pool

Select area of facility you wish to hire *

50mtr Outdoor Pool

Number of lanes required *

Additional information

Do you require equipment? If so, please specify.

PA SystemFalse start ropeDiving blocks

Do you need access to the kiosk? *

YesNo

If yes, please specify what times the kiosk will be required

Preferred Date From *

Preferred Date To *

Requested session times *

Approximate number of students per session and the order each year group aims to attend *60 students - maximum number per session

Additional information

Will your school/organisation be ordering swim caps through CB Swim School? *

YesNo

Tents/ Marquees

All tents/marquess must be weighted. Guide ropes or pegs are not permitted.

Do you propose to erect tent/marquees?

Number and size(s)

Location

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Please attach a diagram.

Risk Assessment

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If you selected yes above, a risk assessment is required.

First Aid and CPR

Please attach a copy of the First Aid/CPR Representative's HLTAID011 Provide First Aid and HLTAID009 Provide Cardiopulmonary Resuscitation Certificates. These qualifications must be valid for date of event and certificate holder/s must be present at the facility on date of hire for the duration of the hire period.

HLTAID011 Provide First Aid Certificate *

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HLTAID009 Provide Cardiopulmonary Resuscitation Certificate *

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Insurance

The hirer must provide Council with Public Liability Insurance with a minimum cover of $20,000,000 and this policy must name the City of Canterbury Bankstown as an interested party. A current certificate of currency must be forwarded with this application. Please attach a copy of the one page Certificate of Currency of your Public Liability Insurance Policy.

Public Liability Insurance *

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Risk Management Plan

The hirer must provide a detailed risk management plan outlining how they will manage risk in an aquatic environment. This is separate to Council's Aquatic Operations Manual and must be inline with Royal Life Saving Australia's guidelines of operation.

Risk Management Plan *

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I hereby acknowledge the Fees and Charges, including all cancellation fees and conditions for pool and lane hire at Canterbury Bankstown Leisure Centres. *

I the hirer have read, understood, and agree to abide by City of Canterbury Bankstown Terms and Conditions for the hire of the Leisure and Aquatic Centres. All organisers of Department of Education Programs, have to pass this form to the attending school to read and agree to Council’s Terms & conditions of hiring. *

Privacy Notice

In submitting this form, you consent to Council:
1. collecting your personal information as contained in the form; and
2. 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.

*

Signature *

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Print Name *

Date *

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