Online Form - 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.

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Number of Teams

Will You Have Senior Teams?*
Will You Have Junior Teams?*

Membership Numbers

Will You Have Senior/Full Members?*
Will You Have Junior Members?*
Will You Have Social Members?*


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.


Vice President:




First Committee Member:

Second Committee Member:

Third Committee Member:

Please select the applicable facilities below

Port Hedland Leisure
South Hedland

Port Hedland

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

Seasonal Requirements

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

Reminder: Sporting clubs and associations are responsible for the setup and dismantling of all required sporting equipment for the completion of training and game sessions

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?*

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 online facilities booking form.

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

Please check the following

Booking Confirmation

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. 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.

Declaration & Acknowledgement 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:
Maintain the appropriate authority to form an agreement on behalf of the Club/Association
I/we agree the information provided is true and correct
Club/Association is required to comply with the Town of Port Hedland's (i) Facility Hire Terms and Conditions, as well as (ii) Seasonal Hire Policy.

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