Application for Facility Hire

Applicant Details

Applicant Name: *The applicant is the person responsible for making the application and need not be the owner of the land. The applicant is responsible for ensuring the information provided on all Mareeba Shire Council application forms is correct. Any approval that may be issued as a consequence of this application will be issued to the applicant.

Organisation Name:

ABN:

Postal address: *

Address *

City *

State *

Postcode *

Phone Number: *

Email Address: *

Hall Hire Details

Name of facility: *

Address of facility:

Date of hire: *

Start and finish time of event? *Including set up time if applicable.

If you require a reoccuring hire, please attach a calendar indicating the dates required.

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Description of the function: *

Anticipated number of attendees: *

Will alcohol be consumed? *

YesNo

If yes, a refundable bond will apply and if it is a fundraising event a liquor licence or exemption is required

Copy of liquor licence or exemption.

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Are you preparing or serving food to the public? *

YesNo

If yes, please contact Council's Environment Health Section for food licence requirements.

Are table and chairs required? *

YesNo

If yes, please specify the number of tables or chairs required.

Do you have public liability insurance for this event? *

YesNo

Current public liability insurance of $20 million must be provided and a copy of the policy or certificate of currency must be submitted to Council. Mareeba Shire Council MUST be listed as an interested party. If you do not have public liability insurance please complete Council's Casual Hirer Form.

Please provide a copy of your public liability insurance or completed casual hirer form *

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Group Type

Are you a commercial entity? *

YesNo

Is your organisation a non-profit, incorporated group or association of persons with the primary aim of conducting activities and providing services for community benefit? *

YesNo

Does your group rely predominantly on volunteer labour, community fundraising, membership fees and donations? *

YesNo

Does your group receive state or federal government operational grants and/or rely on a fee for service business model? *

YesNo

Event

Is the event private, commercial or not for profit? *

PrivateCommercialNot-for-profit

Is the event/activity open to the public? *

YesNo

Is the event/activity a fundraiser? *

YesNo

Is there an entry fee, or charge to attend or participate in the event/activity? *

YesNo

If yes, what is the fee or charge?

Is the event/activity funded by state or federal government operational grants? *

YesNo

Declaration of Applicant

I declare the information provided by me in this application is true and correct.

I have read and understand the Hall Hire conditions.

I am aware waste management and clean up requirements are to be arranged by the applicant.

Applicant Signature

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Collection Notice: Mareeba Shire Council is collecting your personal information under the Local Government Act (Qld) in order to process your hall hire application form. Your personal information will not be used for any other purpose and will not be disclosed to any other entity or person without your express consent or we are required by law. Your personal information will be handled in accordance with the provisions contained within the Information Privacy Act 2009 (Qld).

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