Application for the Casual Use of Sportsgrounds (eg. Gala Days and Presentation Days)

APPLICATIONS MUST BE RECEIVED A MINIMUM OF 7 WORKING DAYS PRIOR TO THE REQUESTED DATE.

Applicant Details

Group Name/Organisation *

Postal Address *

Contact Person *

Position within Organisation *

Email Address *

Mobile *

Home Phone

Business Phone

Insurance

A valid public liability insurance policy with a minimum cover of $20 million is a compulsory condition of hire. Applications without insurance documentation will not be processed.

Please attach an up-to-date copy of the policy to your application. *

Browse

Expiry Date *

Hire Request Details

(THE EVENTS APPLICATION FORM IS TO BE USED FOR EVENTS INVOLVING MORE THAN 100 PEOPLE.)

Date

Sportsground

Start Time

Finish Time

Reason for Hire

No. of Users

Date

Sportsground

Start Time

Finish Time

Reason for Hire

No. of Users

Date

Sportsground

Start Time

Finish Time

Reason for Hire

No. of Users

Date

Sportsground

Start Time

Finish Time

Reason for Hire

No. of Users

Date

Sportsground

Start Time

Finish Time

Reason for Hire

No. of Users

** Please note if floodlights are required, additional fees are applicable and a Cloud Master Form is required.

Keys

Key/s Required for Ground/s (please note fees apply per key):

Parks Access GateChange RoomPower BoxToilets

Key/s required from (start date)

Key/s required to (end date)

Declaration

I agree to abide by Hornsby Shire Council’s Conditions of Hire for Sportsgrounds and any other conditions as advised by Council. I hereby certify that the information supplied in this application is correct to the best of my knowledge. I also undertake to advise Hornsby Shire Council should there be any alterations or additions to the information supplied. *

Name *

Signature *

Draw signature|Type signatureClear

Date *

Save and Complete Later