Complete the form below to hire a Latrobe Leisure facility. Latrobe Leisure Conditions of Hire Current Applicant / Organisation Details Event Information Facility Requirements Terms and Conditions Complete Organisation Details Organisation Name: Contact Person First Name Last Name Email Address Phone Number Postal Address Address City/Town Post Code Billing Contact same as Contact Person Yes No Billing Contact Name: Email Address Phone number Postal Address Address City/Town Post Code Insurance Requirments Is this event for a Department of Education and Training School? Yes No Information message In accordance with Council’s policy on the hire of facility, the hirer is requested to provide a copy of their current Public Liability Policy for the hire period prior to usage. The cover is required to be for a minimum of twenty million dollars ($20,000,000). Do you hold a minimum of $20 million Public Liability Insurance? Yes Please note: This is a mandatory condition of hire for all Council-operated venues. Insurance Company: Policy No: Expiry Date: Limit of Coverage (minimum $20m required): Upload Certificate of Currency: One file only.256 MB limit.Allowed types: gif jpg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip. Acknowledgement I confirm that this booking is not for electoral purposes Leave this field blank
