2018 Function Hire Form– Istrian Room
*Access is strictly from 5pm-1am on the date of function
Date of FunctionName ofHirer/Organisation
Contact Name
Postal Address
Suburb / Postcode
Phone / Mobile
As the Centre will notify VicPol of your event via the PartySafe registration initiative we require the following details;
Type of Function e.g. 21st Birthday / Number of people expected
Function Start Time / Function End Time
Will alcohol be consumed at your function? Yes No
*If yes, NPCC will book security on your behalf / Will alcohol be sold at your function? Yes No
*If yes, you will require a liquor licence
Will BYO Alcohol be allowed? Yes No / Will alcohol be consumed by, or served to a child under the age of 18 years? Yes No
Amount of Supervising Adults: ______
Average age of guests?
Has this party been advertised on the Internet, or social networking sites?
Posted as Private Event Posted as Public Event Not Posted
Please tell us how you found Noble Park Community Centre?
I have read, fully understood, and agree to comply with the NPCC Conditions of Hire
Signature: Date:
KEYS - To be completed by the Key Holder upon key exchange. The key holder must attend Centre in the week prior to the function to receive the keys and take part in usage orientation. Please phone the office to arrange a time.
Name / Phone
Key Number / Alarm Code
I have read, fully understood, and agree to comply with the NPCC Conditions of Hire
Signature: Date:
OFFICE USE ONLY
Type of Function / Private Community Other ______
Non Refundable Booking Fee / Hire Fee
Bond / Security
Public Liability Insurance / TOTAL / Balance DUE Date
Date / Notes