Darebin Arts & Entertainment Centre
Cnr Bell Street and St Georges Road
Preston VIC 3072
Ph. 03 8470 8280 E.

BOOKING APPLICATION FORM

PLEASE TICK ALL THAT APPLY: (NOTE IF FILLING OUT ELECTRONICALLY PLEASE DOUBLE-CLICK BOX)
MEETING FUNCTION EVENT REHEARSAL PERFORMANCE
MARKET EXPO COMPETITION OTHER:
NAME OF ORGANISATION/GROUP:
DESCRIPTION OF ACTIVITY:
EVENT NAME: / NUMBER OF PARTICIPANTS:
HAVE YOU HIRED DAREBIN ARTS & ENTERTAINMENT CENTRE BEFORE? NO YES
FOR DAREBIN CITY COUNCIL BOOKINGS ONLYGL:______/ ______/ __/ __
IS THE GROUP A NOT-FOR-PROFIT ORGANISATION?NO YES Incorporation Number:
DO YOU HAVE PUBLIC LIABILITY INSURANCE?NO YES Please attach a copy, must be valid to final date of hire
IS YOUR ACTIVITY TICKETED?
YES NO Not Applicable If yes, you will be required to complete a ticketing application form.

PRINCIPAL CONTACT

NAME: / ROLE:
ADDRESS: / POSTCODE:
PHONE (B/H): / (A/H):
MOBILE: / EMAIL:

NAME OF ACCOUNT TO BE INVOICED/TICKET SALES PAID OUT TO

NAME: / ROLE:
ADDRESS: / POSTCODE:
PHONE (B/H): / (A/H):
MOBILE: / EMAIL:

HIRE DETAILS

Please attach a separate sheet or calendar if there is insufficient space below
ROOM/S / DATE PREFERENCE/S / ACCESS TIMES / EVENT TIME/S / TOTAL HOURS

ROOM SET UP

All rooms except theatre

Clear Floor Space / Theatre/Forum / Board room
U-Shape (with tables and chairs) / U-Shape (chairs only) / Banquet Style (round tables and chairs)
Table at the front of room / Extra chairs (number)
Please attach a plan for alternative set up

NOISE LEVELS

Nil / Low / Mid / High (max +55db)
Hirers must provide full details of proposed activities and are advised to discuss with the Venue Staff any issues regarding the type of noise, noise levels, style of entertainment, including singing, drumming, amplified speech, active group movement.

EQUIPMENT HIRE

Please list all items you wish the Darebin Arts & Entertainment Centre to provide, meeting and event items such as whiteboards, laptop, projector/projector screen, data cable, power leads etc, or theatre items such as microphones, fold back speakers, special lights etc. NB there will be a cost for most equipment provided by the venue, we will provide an estimate.

KIOSK/BAR

Darebin Arts & Entertainment Centre operates a kiosk/bar for all theatre performances, open from 30-45 mins prior to performance start times and during any interval, selling sweets, snacks, soft drinks, beer and wine. Please indicate here if you wish to discuss specific arrangements or prefer alcohol not to be served.

CATERING

All catering at Darebin Arts & Entertainment Centre isrequired to be provided by Council approved suppliers.If you require catering for your event please indicate below, we will contact you to discuss options including dietary requirements:

Number of attendees:

Tea/coffee / Lunch
Morning tea / Supper
Afternoon tea / Other, please detail:

STAFFING

Darebin Arts & Entertainment Centre will advise you of cost estimates for required staffing for your event, including Front of House, Catering Staff and Technicians. Security and cleaning staff may be required for large events at venue management discretion, at cost to the hirer. One box office operator is included fortheatre events where tickets are sold through us.

If you require additional or specific staff please indicate below and we will contact you to discuss.

Sound Operator / Stage Door Attendant / Merchandise Seller
Lighting Operator / Stage Crew/Stage Hand / Other, please detail:
Follow Spot Operator (circle: 1 or 2) / Stage Manager

Hirer-provided staff or volunteers will only be considered where safety and customer service permits, and must be approved in writing by the venue manager.

PROMOTIONAL INFORMATION

All public ticketed theatre events using our ticketing service will be listed on our website and promoted in our monthly eNews, as well as social media, using information supplied with your ticketing form.

Other public events such as conferences, expos and markets will be listed and promoted in accordance with community relevance, you will be contacted with a request for promotional information.

PAYMENT

Upon acceptance of your booking application a cost estimate, deposit invoice and venue hire agreement will be issued.

Your booking is not confirmed until deposit and agreement have been submitted. Full payment of your charges are due within 30 days of your event end date. The venue reserves the right to request early payment for first time hirers and large events.

CANCELLATIONS

Once a booking is confirmed all cancellation are to be made in writing and sent to . Cancellations should not be considered as received until confirmation is given by return email from Darebin Arts & Entertainment Centre. Please refer to the venue hire agreement for cancellation terms.

This is an application for venue hire. Submission and receipt of this application does not imply approval or confirmation of your request. Please do not promote your event at

Darebin Arts & Entertainment Centre until all payment and documentation is complete.

The Hirer agrees to indemnify and to keep indemnified, the Council, its servants and agents, and each of them from and against all actions, costs, claims, charges, expenses, penalties, demands and damages whatsoever which may be brought or made or claimed against them, or any of them in connection with the Hirers performance or purported performance of its obligations under this Agreement and be directly related to the negligent acts, errors or omission of the Hirer. The Hirers liability to indemnify the Council shall be reduced proportionally to the extent that any act or omission of the Council, its servants or agents, contributed to the loss or liability.

Personal information requested such as name and address, is collected for the purpose of registering and administering applications for hiring of council facilities. The personal information collected will not be used for any other purpose or disclosed except as may be required by law. If you do not provide the information then your application may not be processed. You may access the information collected about you by contacting us on (03) 8470 8280.

The collection and handling of personal information is accordance with Council’s Privacy Policy which is displayed on Council’s website and available for inspection at, or collection from, Council’s customer service centre/s

I agree with the above conditions and upon acceptance of this application I agree to comply with all respects outlined in

the Darebin Arts & Entertainment Centre Venue Hire Agreement

SIGNATURE OF APPLICANT______DATE___ / ___ / ___

All bookings will be confirmed by email. Booking Forms should be submitted to .

All forms MUST be signed to acknowledge full understanding of the conditions of hire.

Darebin Arts & Entertainment Centre Booking Application Form

Last Updated: 01.02.2017

Objective: A3775626 Page 1 of 4