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Hirer Details

Your Name (required)

Organisation

Address

Telephone

Mobile

Your Email (required)

Hire Details

Venue/s to be hired

 Entire Centre (650 capacity) Kinzett Livestock Function Room (150 capacity) Pettigrew & Topping Sports Hall Lions Den Committee Room Tutaki Honey Kitchen Tasman Bar Public Domain Changing Rooms Sound System Data Projector

Date/s of hire (use date format dd/mm/yy)

From: (date) (time)

To: (date) (time)

(Please remember to include set up and pack up time as part of your full booking time).

Please state purpose of hire:

No. of people to be expected:

Cleaners to be hired:  Yes No

(This is an additional charge over-and-above the hire fee that will be added to your final invoice).

Bar Hire Details

 Full bar service (alcohol and staff supplied) Bar service (staff supplied) No bar service

For more details about bar options, refer to ‘Conditions of Hire’

Referee Details

If hire is for personal use, please provide contact details for two referees:

Referee Name:

Address:

Telephone: E-mail:

Referee Name:

Address:

Telephone: E-mail:

I have read, understood and agree to abide by the Conditions of Hire of the Murchison Sport, Recreation & Cultural Centre.

Indemnity:
I hereby agree that in the event of any damage being caused to the Centre or any furniture, equipment or fittings or other articles or property belonging to the Murchison Sport, Recreation and Cultural Centre or Tasman District Council or to loss thereof during the period of hire of the Centre or any part of the Centre and/or Domain, that I will at my own expense make good all such damage or loss, and in the event of my failing to do so within seven days after the occurrence of such damage or loss, I hereby irrevocably licence and authorise the Murchison Sport, Recreation & Cultural Centre Incorporated to make good all damage or loss and hereby agree to indemnify the Murchison Sport, Recreation & Cultural Centre Incorporated and Tasman District Council against all proper charges and expenses in respect thereof.

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