Georges River Council - Online Forms

Casual Use of Parks

ADVISORY NOTES

Applications must be received a minimum of 5 business days prior to use
Complete each section of this application. An incomplete form may result in delay processing of your application

For advice please contact Customer Service on (02) 9330 6400 (8.30am-5.00pm Monday to Friday)

CLUB/COMPANY DETAILS

Contact Name:

E-mail Address:

Telephone Business:

Mobile No:

Unit No:

Street:

Suburb:

Club/Company Name:

Where applicable

ABN:

Where applicable

Club/Company Website:

Where applicable

Position Held on Club Committee:

Where applicable

24 hour Contact Name:

Where applicable

Telephone:

Where applicable

EVENT DETAILS

Park Name:

Brief description of activity eg weddings, school picnics, sports clinics:

Nominated Sports-ground or Park Area Required:

Total Number of Participants:

Commencement Date - Start:

Today

Commencement Date - End:

Today

Please Include Details of Any Infrastructure Proposed for Your Event:

Where necessary please attach site plan and/or other relevant information. E.g. line markings, marquees, amusements, vehicle access, provision of food and beverages, extra rubbish bins, proposed signage, caterers etc.

Attachments:

DAYS & TIMES OF USE

Mondays from:

to:

Tuesdays from:

to:

Wednesdays from:

to:

Thursdays from:

to:

Fridays from:

to:

Saturdays from:

to:

Sundays from:

to:

TERMS AND CONDITIONS OF USE

Where the application is on behalf of a Club, Association, Business or involve a Commercial Operator, the permit holder is to either have public liability insurance or be included in their governing Association’s public liability insurance to the sum of not less than $20,000,000 for the duration of the permit.
The permit holder is to supply Council with a copy of their certificate of currency for their public liability insurance, which indemnifies Georges River Council as an interested party, together with this application or proof of cover from their governing Association.
This permit does not give the permit holder the authority to transfer or sub-hire to third parties to use the park, or its facilities, for any supplementary (or otherwise) sport, recreation or other events or services without Council’s written consent.
The permit holder must advise Council’s Sport and Recreation Officer of any changes to the use of the venue including competition days or nights not nominated on the permit, additional training days or nights, extended hours of use outside the nominated times or any special events, commercial activities or functions.
After hours Council assistance can be obtained by 9330 6400.

DECLARATION

Applicant Name:

Date:

Today

Declaration:

I agree that all information that I have supplied is true and accurate to the best of my knowledge and agree to abide by the terms and conditions of the permit for the nominated period and am aware that any breach of the terms and conditions may result in forfeiture of the permit, temporary loss of access to facilities or any other course of action or penalty so deemed by Council.

Security code:

Privacy Disclaimer

Your personal information is being collected by Council in accordance with applicable legislation.

The provision of your personal information is voluntary, however the information assists Council in the delivery and management of the subject request, and / or as required by law.

Your personal information will be used and disclosed for the Council’s purposes, or a directly related purpose, unless you consent to another use or disclosure, in emergencies or as otherwise required or authorised by law.

Should you wish to access or amend your personal information please make a written request to Council by:

Post: PO Box 205, Hurstville BC NSW 1481
Email: mail@georgesriver.nsw.gov.au

For more information please refer to Council’s Privacy Management Plan.

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