KPCC Hall Booking Form

First Name *

Last Name *

Organisation (if applicable)

ABN/ACN

Home Address *

Mailing Address

Mobile Number *

Email Address *

Facilities To Be Booked (Tick All That Apply) *

Hall

Front Lobby

Kitchen

Upstairs Rooms

Regularity Of Booking *

Single Booking

Regular Booking

If A Regular Booking, How Often? (e.g. weekly on Tuesday nights)

Date of Event *

Starting Time *

Ending Time *

Expected Number of Attendees *

Will Food Be Served For The Event? *

Yes

Purpose Of Hire (e.g. birthday, wedding, event) *

Disclaimer And Acknowledgement

The church facilities must not be used for any activity that promotes a philosophy or lifestyle that is contrary to our Christian beliefs and ethics and our church statement of faith and values.
Hall hire is at the COMPLETE DISCRETION of the leadership of KPCC. No reason will be given if the booking request is declined.

I believe the information provided in this application is true and correct to the best of my knowledge.
I agree to abide by the Terms and Conditions of Hire Arrangements.

Date of Form Submission *

Electronic Signature *