Seasonal Hire Application Form

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You have the ability to save this form and complete it at a later date. An email will be generated and sent to the specified address.

Note: Incomplete forms are kept for a period of 2 day(s), after this time the system will automatically delete your response.

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 provide a copy of your Public Liability Insurance (1) and evidence of your Game Plan registration (2).


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Max File Size: 10.00 MB
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Number of Teams

Will You Have Senior Teams?*This field is required.
Will You Have Junior Teams?*This field is required.

Membership Numbers

Will You Have Senior Members?*This field is required.
Will You Have Junior Members?*This field is required.
Will You Have Non-Player Members?*This field is required.

Please note you must provide updated member numbers 6 weeks after your season commences. 


Committee Information

All seasonal correspondence will be communicated with the Primary and Secondary contacts for dissemination to the committee members.

Please provide as much accurate information as possible regarding your committee contacts.

President:

Vice President:

Secretary:

Treasurer:

Registrar:

First Committee Member:

Second Committee Member:

Third Committee Member:


Hireable Facilities

Please select all applicable facilities below that you wish to utilise during your seasonal hire.

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

Seasonal Requirements

Reminder: Sporting Clubs & Associations are responsible for all setup and dismantling of the required sporting equipment during training and game sessions, and this time must be included in your requested hire times.

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

Please note: Casual or ad hoc bookings (e.g. special events, tournaments, end of season windup) may not be included in the above standard seasonal allocations if they are outside of your requested training/game times. Any additional events must be applied for separately by completing the ToPH’s online facilities booking form.


Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Will overhead lighting be required?
Will alcohol be consumed at training or games?
Is alcohol being sold at training or games?
Will food or drinks be sold/supplied at training or games?
Are there any special requirements for your booking?*This field is required.
Would you like to receive Local Sports Updates news & updates via sms?

Before submitting this application, please ensure you have checked and completed the following:

Seasonal Hire Confirmations

No booking will be confirmed until the completed application form and required documentation has been submitted 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, and some bookings may be relocated to accommodate large community events. Clubs' Special events and Finals may require adjustment to seasonal bookings. Any changes 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.

Cyclone & Emergency Closures

The ToPH reserves the right to close all facilities in the event of a cyclone or inclement weather situation. An 'Advice' alert will require clubs to assist in packing down and preparing facilities for closure, and a 'Watch and Act' will immediately cancel all bookings across all facilities for the following 7 days. For more information, please visit our website here: Cyclones » Town of Port Hedland


Declaration, Acknowledgement & Acceptance of Terms and Conditions of Hire

By submitting this form, for and on behalf of the Club/Association, you acknowledge and agree with the following:

  • I/we Maintain the appropriate authority to form an agreement on behalf of the Club/Association
  • I/we agree to attend both a pre-season and post-season consultation
  • I/we agree to return any access keys, laptops & hired equipment at the conclusion of the season
  • I/we agree to remove all belongings outside of a hired space
  • I/we agree the information provided is true and correct Club/Association is required to comply with

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