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Providence Christian College

Learning for Life

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Home
About
Life at Providence
- Primary Rebuild
Learning at Providence
Enrolments
Providence Community
Contact

Home
About
Life at Providence
- Primary Rebuild
Learning at Providence
Enrolments
Providence Community
Contact

Facility Hire

Applicants Details
Person responsible for payment and liability
Facilities Being Hired*
- Multi Purpose Hall
- Library Theatre
- Primary Undercover area
- Staffroom
Company Name*
Applicants Name*
First Last
Applicants Home Address*
Street Address Address Line 2 City State Post Code Country
Applicants Mobile Number*
Applicants Email Address*
Type of Identification*
- Drivers Licence
- Passport
Please note a copy of identification must be included with this application.
Drivers Licence number*
Passport number*
Hirer Details
Person/s responsible for event
First Name*
First Last
Address*
Street Address Address Line 2 City State Post Code Country
Mobile Number*
Available at time of the event
Email*
Hire Details
Please note hall can only be hired on a term by term basis
The purpose of the hire*
Is this a*
- Community
- Commercial
- Private
- Sporting Event
Please select one
Estimated number of persons on site
Start Date*
Date Format: DD slash MM slash YYYY
End Date*
Date Format: DD slash MM slash YYYY
Start Time*

: HH

MM
End Time*

: HH

MM
Identification document*
Please upload your Identification Document before submitting
Public liability paperwork*
Please upload your public liability paperwork before submitting your form
Worker Compensation Certificate of Currency
Please upload your Worker Compensation Certificate of currency if applicable
I have read, understood and agreed to abide by the attached Terms and Conditions of hire. I will ensure that any alterations or cancellations are received in writing no less than seven days before the date in question. Please note a cost may be incurred if seven days notice is not received. This application becomes a binding agreement upon acceptance*
- Yes
- No
Please click here to view the Terms and Conditions.

Term Dates for 2021

Term 1: 01/02/2021 – 01/04/2021
Term 2: 20/04/2021 – 25/06/2021
Term 3: 20/07/2021 – 24/09/2021
Term 4: 11/10/2021 – 14/12/2021

Contact info

Location:
19 Furley Road, Southern River, WA 6110
Phone numbers:
+61 8 9455 1607
E-mail:
admin@providence.wa.edu.au
ABN:
42983626009

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