Please tick which facility / facilities you would like to use:
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.
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.
If yes, please complete the attached “Application to Consume Liquor on Council Facility or Reserve.”
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.
If yes, please complete attached ‘Temporary Food Premises Application Form.’ A fee will be charged in accordance with the ToPH’s Schedule of Fees and Charges 2015/16.
Please note:
Download the form here to complete, then upload using the Upload functionality below.
Please ensure the times provided reflect actual use (training/games) so the ToPH irrigation schedule can be accurately and efficiently planned around sporting requirements.
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.
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.
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