Champion Lakes Regatta Centre Sports Island, Henley Drive PO Box 581, Floreat WA 6014 Ph: (08) 9390 7051 Fax: (08) 9390 7686 Champion Lakes Event Enquiry Form Since opening in 2007 the Champion Lakes Regatta Centre has proven to be an exciting facility enjoyed not only by WA’s water sport fraternity but the community as a whole. The 55 hectare lake includes a 2000m international standard rowing course, separate warm up areas and two public swimming beaches. Surrounding the lake are over 11 kilometres of sealed pathways utilised for cycling, running and walking activities. The Sports Island provides essential facilities including change rooms, toilets, a judging/commentary tower and a scenic function area. VenuesWest are committed to providing Western Australia with a true home for national and international water sports through the continued development of the Champion Lakes Regatta Centre. Event Details Client / Organisation: Event Name: Event Day & Date: Event Contact Person: Contact Phone Number: Postal Address: Email: Estimated Attendance Times Set Up: Participants: Spectators: Number of buses: Number of cars: Competitor Arrival: Event Start: Finish Time: Champion Lakes Regatta Centre Sports Island, Henley Drive PO Box 581, Floreat WA 6014 Ph: (08) 9390 7051 Fax: (08) 9390 7686 Invoicing Details Client / Organisation: Address: City: Telephone: ( State: ) Postcode: Fax: ( ) Email: ABN: Public Liability Insurance Provider: Additional Facilities hire requirements: Main Competition Lake YES NO Warm Up Lake YES NO Events Path YES NO Sports Island Parking Areas YES NO Sports Island Rigging Areas YES NO Northern Grass Banks Spectator Parking (2200 cars) YES NO Function Room YES NO Public Toilets YES NO Change Rooms YES NO Event Control Office – Finish Tower YES NO Judging Level – Finish Tower YES NO Commentary Level – Finish Tower YES NO Media Platform – Finish Tower YES NO First Aid Room YES NO Starting Tower YES NO Champion Lakes Regatta Centre Sports Island, Henley Drive PO Box 581, Floreat WA 6014 Ph: (08) 9390 7051 Fax: (08) 9390 7686 Additional Equipment hire requirements: Photo Finish & Timing System YES NO YES NO * This is hire and initial setup of the equipment only, and does not include a VenuesWest Staff member to operate. If you require an operator, you must request so on the next page Start Pontoon Additional Cleaning requirements: Cleaning of the venue facilities will be on costed post event depending on what is required. POA dependent upon event requirements Staffing: All bookings consisting of 200 people or more are required to have a qualified first aid officer on site for to duration of their booking. Client can provide this themselves or VenuesWest can provide. VenuesWest First Aid Officer $46/hr YES NO The hire of the Photo Finish and Timing Equipment does not include a dedicated operator and immediate assistance from the Venue Supervisor cannot be guaranteed on event day. Client can provide their own (an operating manual is provided) or VenuesWest can provide. VenuesWest Photo Finish Operator $46/hr YES NO Sales of Food and Beverage VenuesWest reserves all rights to catering at the Venue and may assign those rights to its nominated caterer. VenuesWest may consider allowing the Licensee to provide catering itself at the Venue during the Event on such conditions as it deems fit. In the absence of express notice to the contrary, such conditions will include that no commercial caterer may operate at the Venue except VenuesWest’s specified caterer and no alcohol may be sold or supplied at the Venue. * Please submit with this form your Certificate of Currency & Risk Management Plan. Champion Lakes Regatta Centre Sports Island, Henley Drive PO Box 581, Floreat WA 6014 Ph: (08) 9390 7051 Fax: (08) 9390 7686 Shade Structures & Equipment Setup Marquees / Stalls YES NO Location: Stage / Sound YES NO Location: Other temporary structures YES NO Location: Course Structure / Length (e.g. Swim 250 / Cycle 10km / Run 2.5km, or Rowing 2000m, Canoeing 200m, 500m & 1000m) Power Requirements Type: (e.g. 15amp. 3-Phase) No. of Outlets: Location: VenuesWest retain the right to restrict the use of electrical appliances deemed unsafe by VenuesWest staff. It is the responsibility of the Event Organiser to ensure all electrical appliances comply with AS/NZS 3760:2003 prior to use. Ticketing Is this a ticketed event? YES NO Ticket Price: Event ticketing arrangements must be negotiated with VenuesWest.