General Booking Enquiry Form
PO BOX 5042, Gold Coast Mail Centre, QLD 9729
Community Centres Telephone: (07) 5581 7227 Facsimile: (07) 5581 6005
cityvenuebooking@goldcoast.qld.gov.au
ABN 84 858 548 460
PLEASE USE
BLOCK LETTERS.
ALL FIELDS
MANDATORY.
Main Office Locations:
Nerang
833 Southport - Nerang Road
Surfers Paradise
135 Bundall Road
For community centre bookings complete the form below. Submit the form and a representative will
contact you within three working days to progress your request. Events/expos, concerts and private
functions will require further confirmation including onsite inspection/meeting with centre manager.
Community centres are not available for parties, catered private functions exempt are:
 Weddings – subject to approval after a site inspection (Note: No exception for
engagement parties)
 Senior's Functions (including birthdays) 60 years + - subject to approval after a site
inspection
 Children Age 1-11 years birthday parties where the function finishes by 6:00pm
Also note that external amplified music at Kirra Hill and Ormeau Community Cultural
Centres must cease by 9.30pm and that it is the hirers responsibility to notify residents 1
week prior to the event (template available from site).
Privacy Act
Gold Coast City Council is collecting your personal information in accordance with The Information Privacy Act 2009
in order to record a booking in Council’s Reservation Management System for the hire of a GCCC operated
community centre. The information will only be used by authorised officers for the purpose of verification and
ensuring our records are accurate. Your information will not be given to any other person or agency unless you have
given us permission or we are required or allowed to by law.
Section 1 - Contact Details / Organisation/Applicant Details
Organisation/Applicant Name (will appear on invoice for payment):
Primary Contact Name:
Email:
Postal Address:
Telephone No:
Mobile No:
Type of Organisation:
SELECT ONE
OPTION ONLY.
Commercial | ABN/ACN:
Commercial with community benefit as defined by Council | ABN/ACN:
State or Federal Government
Private Hire
Not for Profit Organisation - Incorporated/Unincorporated/Interest Group
Government and Private school/university
Religious services
GCCC Internal Booking | SAP Number:
Section 2 – Venue Details (Large 'Event' areas minimum hire two hours)
Venue:
FOR REGULAR
AND/OR
MULTIPLE HIRE
PLEASE
COMPLETE
SECTION 3.
BOOKING TIME
MUST INCLUDE
ALLOWANCE FOR
SET UP AND
PACK UP.
Albert Waterways Community Centre (Event venue)
Burleigh Heads/ Fradgley hall
Burleigh Waters Community Centre
Helensvale Community & Cultural Centre
Hope Island/ Banksia Park hall
Kirra Hill Community & Cultural Centre
Jacobs Well Community Centre
Labrador Community Hub
Mermaid Beach Community Centre
Mudgeeraba Old Post Office
Nerang Bicentennial Community Centre (Event
venue)
Ormeau Centre
Single
Booking Time
Arrive:
Regular hire
Multiple hire (complete section 3)
Depart:
Estimated number of attendees to be entered into the age categories below:
Children (0-11)
#37244256
Date of Booking:
Pacific Pines Community Hub
Paradise Point – Large
Paradise Point – Small
Robina Community Centre (Event venue)
Runaway Bay Community Centre
Runaway Bay Community Youth Centre
Southport Community Centre.
(Event venue, Fully Equipped Conference Room)
Springbrook Community Hall
Upper Coomera Community Centre
Unknown
Youth (12-25)
Revision 10 (Last Modified 08/11//2013)
Adults (26-59)
Seniors (60+)
Page 1 of 2
Room Type:
How will you set up room
Main Hall / Auditorium
Meeting/Activity Room Room Number:
Conference Room
Kitchen
Other Please specify:
SELECT ONE
OPTION ONLY.
Theatre
Reception
Vacant
Requested Equipment Please specify:
Other Please specify:
Activity Type:
Private function
Playgroup
Physical activity
Conference
Social Services
Religious service
Meeting
Arts/drama/dance
Youth program
Training/education
Health and wellbeing
Event/Expo/Concert
ANY FEE MUST
BE DISCLOSED.
Activity Description:
Activity Fee:
(if applicable)
Section 3 – Regular and/or Multiple Booking Information for 2013
ANY CHANGES
MUST BE
ADVISED IN
WRITING (EMAIL).
Regular Hirers must obtain a Sundry Debtor Account
Nominated booking times specified must be adhered to.
Day of week/month:
First Booking Date for 2013
Date:
Last Booking Date for 2013
CANCELLATION
POLICY AS PER
‘CONDITIONS OF
HIRE’
Day of week/month:
Do you require the venue during school holidays?
Do you require the venue on public holidays?
YES
YES
Date:
NO
NO
Booking Details for 2013
Booking times
Day of week
Start
Finish
Attendance details
Attendance numbers
Entry cost to activity
REVIEW YOUR
REQUESTED
DATES PRIOR TO
SUBMITTING THE
FORM. CHANGES
TO SELECTED
DATES IS
LIMITED.
HIRERS MUST RETAIN A COPY OF THIS COMPLETED FORM.
Signature of Applicant
SIGNATURE OF
APPLICANT.
Would you like to receive information and updates on Councils Community Centres
YES
NO
I,
as the duly authorised agent of
having read and understood the ‘Conditions of Hire’ for the Centre do hereby accept and will abide by the
terms and conditions contained therein.
I will be available to be inducted as the Event Coordinator and the appropriate training documentation is to
be completed and signed off prior to commencement of my 2013 bookings. (Qld Fire Regulations S-32)
I authorise the release of the hirers contact details to any member of the public interested in attending our
group meeting/classes.
YES
NO
Signature:
Please print name (electronic copies only):
Date:
Please return to cityvenuebooking@goldcoast.qld.gov.au
#37244256
Revision 10 (Last Modified 08/11//2013)
Page 2 of 2