Koroit Theatre Venue Hire
Application Form
- Bookings are considered tentative until the return of the Booking Form, deposit and security bond
- Deposit: $50 or 30% of total hire fee (whichever is the greater)
- Security bond: $500
- Tentative bookings will be held for 14 days only
- Balance of payment is due 14 days prior to the function
- The security bond will be refunded 14 days after the function less costs that may be incurred for additional cleaning or damage.
- Hire Fees:
- Full venue – including use of kitchen facilities
$140.00 full day hire or $20.00 per hour up to 4 hours
- Foyer hire$50.00 full day hire or $10.00 per hour up to 4 hours
- Supper room$50.00 full day or $10.00 per hour up to 4 hours
- Insurance
- Public Liability Insurance is available for the hire period $15.00 additional fee
- Groups already covered for Public Liability must attach a current Certificate of Currency to application
- The Koroit Theatre is a NON SMOKING venue
Please return completed form to Marlene Keane 15 Station Street Koroit 3282
Applicant Information
1.Hirer/applicant details (Clearly print details)
Name of organisation/club (if applicable): ......
Surname: ...... Given names: ......
Address: ......
Town: ...... P/code: ......
Telephone (Home): ...... (Other): ......
Email: ......
Details of person responsible for key collection and return if different from the applicant.
Surname: ...... Given names: ......
Address: ......
Town: ...... P/code: ......
Telephone (Home): ...... (Other): ......
Email: ......
2.Venue hire purpose
Date from:...... Date to:......
From: ...... am / pmto:...... am / pm
Hours required must allow for set up, pack up and cleaning to avoid double booking
Function type and description (e.g. festival, concert etc.): ......
...... :
Hire Fee......
Bond......
Public Liability......
Total Hire Cost...... (Cheques made payable to Koroit Theatre Management Committee)
Select other facilities from the list below, required for your booking.
Please note - everything must be returned and stacked in the designated space to avoid loss of bond
Hall HeaterOvenUrn
CutleryCrockeryGlasses
TablesTrestles
Plastic ChairsUpholstered Chairs
I hereby make this application for the premises set out in the schedule to this application for the day and the times specified. I acknowledge having received and read a copy of the Conditions of Use and undertake to be bound by and comply with these Conditions is every respect. I further undertake to be responsible for ensuring that all individuals or groups using the premises in association with this application shall comply with the Conditions.
Hirer/Applicant Signature......
Name & position in Organisation......
The Information collected on this form is to enable hire of the venue specified. We will not use your personal information for any other purpose without first seeking your consent, unless authorised or required by law. The information will be stored securely by Moyne Shire Council. Without this information we will be unable to hire the venue to you.
Should you require public liability insurance to be provided through Moyne Shire Council, then the information contained on this form will be provided to the insurer