Complete the form below to hire a Latrobe Leisure facility. Current Applicant Details Event Information Facility Requirements Terms and Conditions Complete Organisation Details Organisation Name: Organisation Address: Organisation address: Postal address (if different to primary address): City/Town: State: Post code: Contact Information Name: Email: Phone number 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). 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. I have attached a current copy of the organisation’s Certificate of Currency as requested in section 10 - Insurance. A booking will not be accepted and confirmed until the above is supplied. The only exception to this requirement is DET schools. I confirm that this booking is not for electoral purposes Leave this field blank
