Room Hire Enquiry

Hirer Name (Business Group or Individual) *

Contact Name (if applicable)

Contact Phone

Email *

Type of Organisation *

Business

Private (individual or group)

Not for profit organisation (incorporation papers required)

Copy of Public Liability (required for business, and preferred for others if available)

incorporation Cerificate (for NFPs)

KNC Member *

YES

NO (please consider supporting our activities by joining)

Room(s) *

Building 1 - Auditorium

Building 1 - Meeting Room

Building 1 - Interview Room

Building 1 - Workshop

Building 2 - The Court

Building 2 - The Hub

The Cottage - Lounge

The Cottage - Office

Start Date *

End Date *

Recurrence *

Once only

daily

weekly

monthy - please specify details below, e.g. "1st of each month" or "4th Tuesday of each month"

other - please specify below

Details of Recurrence

Notes (eg school terms only)

Start Time *

End Time *

Type of Event/Activity *

Number of Attendees *

Will alcohol be consumed? *

NO

YES

Are you hiring any equipment or employing another organisation to provide music, entertainment, DJ, catering equipment, caterers, etc? *

NO

YES

If YES, please provide a copy of their Public Liability Certificate of Currency

HIRE AGREEMENT: *

As the hirer, I hereby agree that the above information is correct and that I have read and understood and agree to abide by the Conditions of Hire. I also agree to indemnify Kincumber Neighbourhood Centre Inc., its staff and volunteers and Board members from and against any claim arising from any accident, loss, damage or injury to persons or property by reason of anything done or omitted to be done by the Hirer, its employees and any persons under its control or responsibility in connection with the usage of Kincumber Neighbourhood Centre Inc.’s facilities.

Todays Date *

Payment Preference *

Cash

EFTPOS

Invoice

Direct Credit

Verification code*

ROOM HIRE APPLICATION

Room Details

BANK ACCOUNT DETAILS

ROOM HIRE

Room hire forms and information