Anglicare Site Visitor Check-In – Anglicare

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Gordon Community Centre - venue hire

Your details

Your name(Required)

First Last

Organisation/group

Are you over the age of 18?(Required)

Phone(Required)

Email(Required)

Hire details

Hire frequency

Casual/one-off

Regular/Ongoing

Dates/days required

Access start time

Access end time

Areas/rooms required

Lanyon Room (capacity 50 standing)

Point Hut Room (capacity 12 seated)

Kitchen (shared access)

Outdoor areas

Please select all areas that apply.

Frequency of hire

Day of the week

School term only?

Public Holidays?

Public Liability Insurance

Will you be purchasing one-off insurance cover through Anglican Insurance and Risk Services Ltd (AIRS)?(Required)

Yes - I am hiring Gordon Community Centre for ‘personal use’ and will purchase one-off insurance cover as required through AIRS as per the instructions below.

No - I am hiring Gordon Community Centre for incorporated community use, commercial use or as a regular hirer and will provide my own Public Liability Cover Certificate of Currency.

To purchase one-off insurance through AIRS click here:

Apply for Insurance here

Enter 'Gordon' as the Suburb/Town, select 'Gordon Community Hub' as the venue and for Parish Contact Details please enter ‘Manager’ in the name field and the email as gordon@anglicare.com.au.

‘Personal use’ means the hirer is a person or unincorporated group meeting for a non-commercial, non-political purpose where the meeting is not open to the general public and the hirer does not have a public liability policy. Please note: one-off insurance through AIRS does not cover any service provider or contractors engaged for the venue hire period (eg catering or entertainment). They will need to provide their own insurance cover for the event/venue hire period.

Payment of Bond

I understand I am required to pay a refundable bond of $150 (in cash) to Gordon Community Centre.(Required)

Agreement

I have read and agree to comply with the Terms and Conditions of Hire. I will provide a copy of the relevant Public Liability Insurance Certificate of Currency (required for incorporated community, commercial or regular hirers) or have purchased one-off insurance through AIRS (required for individuals, personal/non business use). I acknowledge that this application is not confirmed until I receive a booking confirmation from Gordon Community Centre. Confirmed bookings are pending all required fees and bond to be paid as per Terms and Conditions of Hire.

Name Position/title

Signature

Date

Daily Fees

Anglicare Early Learning

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First Last
Email*
Phone
Which Early Learning Centre are you enquiring about?*
Message*

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ANGLICARE WORKSITE VISITOR CHECK-IN FORM
30 Scotts Crossing, Canberra ACT

Your details

Hire details

Public Liability Insurance

Payment of Bond

Agreement

Make a referral

Participant details

ANGLICARE WORKSITE VISITOR CHECK-IN FORM 30 Scotts Crossing, Canberra ACT

ANGLICARE WORKSITE VISITOR CHECK-IN FORM
30 Scotts Crossing, Canberra ACT