Amusement Devices and Activity Application

About this Form

Please use this form to apply to use Council managed parks and open spaces for use of the following:

Amusement devices (such as jumping castles, rides, inflatable items, sumo wrestling, petting zoos, etc).
Activities not permitted in parks without Council permission including but not limited to generators, amplifiers, starting pistols and erection of temporary buildings, eg marquees.

Please note that an application fee applies. Facility hire fees may also apply.

Applicant Details

Name *

Address *

Email Address *

Phone *

Park Details

Park Name *

Booking Date *

Picnic Shelter Booking Number(If applicable)

Amusement Device/Activity Detail

Description and Number of Amusements *

Supplying Company Name *

Supplying Company ABN *

Supplying Company Phone Number *

Dimensions of Space Required- Length *

Dimensions of Space Required- Width *

Power Required? *

YesNo

Water Required? *

YesNo

Further information/additional device details (if required) *

Insurance

You will be required to supply public liability insurance for $20,000,000 for all amusement devices and some activities. You and any contractors may also need to have adequate workers compensation and other insurances as required by law.

Please attach a copy of your public liability insurance. *

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Expiry Date *

Declaration

I declare that all the information in the application is to the best of my knowledge true and correct. I also understand that if the information is incomplete, the application may be delayed or rejected or more information may be requested. I acknowledge that if the provider is misleading, any approval granted may be voided. *

Applicant's Name *

Date *

Signature *

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