Will Alcohol Be Consumed? ______ No Yes Number of People

/ Office Use Only
------_-
BOOKING ID
_ _ /_ _ _ _ / _ _ / _ _ / _ _ / _ _

CLIENTDETAILS

Organisation:

Address:
Suburb: / State: / ______ACTNSWNTQLDSATASVICWA
Postcode: / Fax:
1st Contact
Name: / Position:
Phone Number: / E-Mail:
2nd Contact
Name: / Position:
Phone Number: / E-Mail:

BOOKING INFORMATION

Will Alcohol be Consumed? Number of People:

Venue Required / No. of courts required / Day / First
Date
(dd/mm/yy) / Last
Date
(dd/mm/yy) / From – To
(HH:mm AM/PM) / Office use only
______MonTuesWedThursFriSatSun / - / _ _ / _ _
______MonTuesWedThursFriSatSun / - / _ _ / _ _
______MonTuesWedThursFriSatSun / - / _ _ / _ _
______MonTuesWedThursFriSatSun / - / _ _ / _ _

*If additional space is required for “booking information” please complete this section of an additional form.

Purpose of Booking:

Will you require on campus parking? Limited parking is available at additional cost.

CONTRACT

I / on behalf of

have read, understand and take full responsibilityto ensure that the conditions of use are adhered to.

Signed / Date

Office Use Only

Confirmation Sent On ______Forwarded To Finance for Invoicing On______

Paid At Desk  Receipt #______Processed by ______Date ______

Equipment Hire

Equipment for Hire (please tick any equipment needed and state the number of each item)

Tables ___ / Sporting Equipment ___ / Chairs ___ / Data Projector ___ / PA System ___
Microphone ___ / Whiteboard ___ / Umpires ___ / Staff Member: ___
Other:

Conditions of Hire

All applicants must be current, active members of a Melbourne University Sports Club.
All equipment must be returned to MUS in the same condition it was in prior to hire.
All Damage must be reported to Venue & Events Coordinator Jennifer Eslick (83448575).

Payment

This authority shall stand, in respect of the Specified Card, and in respect to any Card Issued to me in renewal or replacement thereof, until I notify Melbourne University Sport in writing of its cancellation.

Card Holder’s Name:
Card Number: / Card Expiry Date: /
Card Type: Visa ___Mastercard ___
Cardholders Signature: / Date: /

Alcohol

AUTHORISATION FOR EVENTS INVOLVING ALCOHOL

This authorisation is to be used in conjunction with the Environment Health

and Safety Manual Section 8.2.5 Alcohol and Drugs in the Workplace.

sport.unimelb.edu.au/images/ClubResources_22_2126170643.pdf

This authorisation must be completed by the person nominated as the Event Manager two weeks prior to the date of the event. For events held outside on University grounds the form must be signed by Property & Buildings Asset Management (Parkville Campus) or the local Campus Manager (all other University Campuses). For all events involving the serving or selling of alcohol, a copy of the

authorisation must be retained on file.

To be signed by the Event Manager:

I ______representing (club) ______

agree to the requirements in relation to serving and selling of alcohol at the designated event. The Terms and Conditions of serving alcohol are under the Melbourne University Sport Guidelines.

Contact Number at the Event: ______

RSA holder at our event is: ______

Date: ______Signature: ______

To be authorised by the Head of Department or Manager or appropriate authorised officer for Student Union or Melbourne University Sports

Name: ______Department: ______

Date: ______