Latrobe Leisure - Yallourn North Outdoor Pool Hire Booking Request

Organisation name:

Organisation postal address:

Accounts contact name: * (required)

Accounts contact phone number: * (required)

Accounts contact email:

Event contact name: * (required)

Event contact phone number: * (required)

Event contact email:

Event description: * (required)

Public liability insurer:

Public liability policy number:

Upload 'Certificate of Currency'

Dates and times requested: * (required)

Number of participants: * (required)

Age of participants:

Area requested: * (required)

Number of pool lanes requested:

Do you require the kiosk open during your event? * (required)

Yes
No

Additional requests:

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