Sport and Recreation Casual Ground Application Form

Current Hirer/Contact Details
Booking Details
Terms and Conditions
Consent
Complete

PRIVACY STATEMENT: The personal information requested on this form is being collected by Council for the purpose of providing a range of access to facilities and equipment. Your information will be stored in Council’s Customer Database and used to identify you when communicating with Council and for the delivery of services and information. For further information on how your personal information is handled, visit Council’s Privacy Policy at: https://www.wyndham.vic.gov.au/privacy-policy.

I have read and understood the above Privacy Collection Statement (required)

Hirer/Contact Details

Name of School/Organisation (required)

Title

Given Name (required)

Family/Surname (required)

Preferred Contact Number(required)

Email Address (required)

Address (required)

Email address for invoicing

Public Liability Insurance

Please upload a current Public Liability Insurance (Certificate of Currency) (required)

One file only.
64 MB limit.
Allowed types: pdf.

Acknowledgement of Traditional Custodians

Wyndham City Council recognises Aboriginal and Torres Strait Islander peoples as the first Peoples of Australia. We acknowledge the Bunurong and Wadawurrung Peoples as Traditional Owners of the lands on which Wyndham City operates. The Wadawurrung and Bunurong Peoples have and always will belong to the Werribee Yalook (river), creeks, stars, hills and red clay of this Country. We pay respect to their Ancestors and Elders who always have, and always will, care for Country and community today and for future generations.