Sport Sports Fields Booking Application Form

Macquarie University Sport Fields Bookings Request Form

Name of Organisation/Department*

ABN (if applicable)

Name of Event*

Name*

Prefix

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

Postcode

Mobile Number*

Phone Number (H)

Email*

Type of Booking (select one)*

Internal booking/Campus Life External hirer School Carnival Macquarie University Club Member Macquarie University Faculty School Booking

Do you need a:*

Single Booking Ongoing Booking

Date booking required*

Start Time*

:

Finish Time*

:

Start Date*

End Date*

Days Needed*

Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Start Time*

:

End Time*

:

Number of Anticipated Spectators*

Number of Participants*

Number of Sports Fields Required*

Type of Sport (e.g. Rugby, Soccer, Cricket, Mini Soccer)*

Would you like a:*

Whole Field Half-Field

Change Rooms - multiple can be chosen*

Change Room 1 Change Room 2 Change Room 3 Change Room 4 Change Rooms 1-4 Referee Change Rooms

Do you require disability access*

Yes No

If yes, please provide more information

Additional Comments

Risk Assessment

No File Chosen

File uploads may not work on some mobile devices.

Public Liability Insurance

No File Chosen

File uploads may not work on some mobile devices.

Signature*

[clear]

Use your mouse or finger to draw your signature above

Date/Time*

: