Town of Port Hedland
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Online Form - Seasonal Hire Application Form


Number of Teams


Membership Numbers


Please note: All correspondence will be forwarded to the primary contact and secondary contact for dissemination to committee members.


Committee - Summer Season 2017-18

(Please include all committee members and add any additional committee positions as required)

President:

Vice President:

Secretary:

Treasurer:

Registrar:

First Committee Member:

Second Committee Member:

Third Committee Member:


Please tick which facility / facilities you require

South Hedland








Port Hedland








Is access to the building(s) required, e.g. for toilets / change rooms?

If yes, Hirer must provide an additional $50 bond for each key provided.

All Hirers must have public liability insurance to the value of $10 million. The insurance must note the ToPH as an interested party. Hirers must provide the ToPH with copies of their current insurance policy at the time of making this application. Sports groups may be able to obtain this insurance certificate from their State Sporting Association.

Please ensure the times provided reflect actual use (training/games) so the ToPH irrigation schedule can be accurately and efficiently planned around sporting requirements.

Will overhead lighting be required?

If yes, please indicate requirements in the table below. The use of the lights will be charged in accordance with the ToPH’s Schedule of Fees and Charges 2015/16.

Will alcohol be consumed at training or games?
Is alcohol being sold at training or games?

If yes, it is the hirer’s responsibility to obtain the appropriate licence from the Department of Racing, Gaming and Liquor through the Clerk of Courts, Hawke Place, South Hedland. A copy of the licence must be submitted to the ToPH with this application prior to the commencement of the hire period.

Will food or drinks be sold/supplied at training or games?

If yes, please complete Temporary Food Premises Application Form. A fee will be charged in accordance with the ToPH’s Schedule of Fees and Charges 2015/16.


Training Requirements Table

Please note:

  • Only training details to be provided in the table below (please provide fixtures to inform us of game details).
  • When completing the table below please ensure you list all teams including second sides and junior teams.
  • This needs to include all pre-season training.

Please download a copy of the Training Requirements Table, fill it out and reattach it below.


Please note: casual bookings (e.g. special events, tournaments, end of season windup) are not included in the above standard seasonal allocations. Any additional events must be applied for separately by completing the ToPH’s Community Event Application Package.


Booking confirmation

No booking will be confirmed until the completed application form and required documents have been returned to and assessed by the ToPH, and the appropriate hire fee and bond have been paid. If the booking is accepted, the ToPH will issue a Confirmation Letter to the hirer.

Please be aware all bookings are subject to change. Special events and finals may require adjustment to seasonal bookings. This will only occur following consultation with all groups involved.

Refusal or Termination of Booking

The ToPH reserves the right to refuse any application. Failure to comply with requirements set out in this document will be regarded as a breach of the hire agreement, giving the ToPH the right to recover any amount due in respect of such breach and/or cancel any future bookings. The ToPH reserves the right to determine the cost of any damage/s and/or extra cleaning.

On behalf of the aforementioned Club/Association, I/we agree the information provided is true and correct, and I/we have read and agree to abide by ToPH Terms and Conditions of Hire.


Before submitting this application, please ensure you have completed all items on the check list below!

Please check the following









Acknowledgement of Terms and Conditions of Hire

All Terms & Conditions are located on the ToPH website under Service & Facilities/Recreation/Ovals & Sports Grounds.

By signing the Application Form, for and on behalf of the Hirer, you:

  1. Acknowledge and agree the Hirer is required to comply with the ToPH’s Terms and Conditions of this document; and
  2. Acknowledge and agree the Hirer has received the ToPH Sporting Groups Seasonal User Information Package
  3. Warrant that you have the appropriate authority to sign for and on behalf of the Hirer.