a booking form

TRAINING FACILITY
BOOKING APPLICATION
PLEASE RETURN COMPLETED FORM TO:
Asthma Foundation WA
PO Box 864, West Perth WA 6872
P: (08) 9289 3600 F: (08) 9289 3601
E: ask@asthmawa.org.au
Organisation/Hirer
Name:
Type of Activity:
Main Contact Person:
Address (including postcode):
Position Held:
Contact Number/s:
Home: Work: Mobile:
Email Address:
Second Contact Person:
Address (including postcode):
Position Held:
Contact Number/s:
Home: Work: Mobile:
Email Address:
Please indicate the dates and times of your application
*Please note bookings made or continuing outside of opening hours will incur a staffing fee
and will require approval from Management.
BOOKING DATE/
DATES
DAY/S OF THE
WEEK REQUIRED
REQUIRED FROM
(inc. set up)
REQUIRED UNTIL
(inc. pack down)

FOR REGULAR APPLICATIONS:
DATES THAT WILL NOT BE REQUIRED THROUGHOUT THE YEAR
(eg: School Holidays, Public Holidays)
NATURE OF APPLICATION
NUMBER OF PEOPLE
SPECIAL REQUIREMENTS/AUDIO REQUIREMENTS
Number of chairs required
Number of tables required
Will there be alcohol at your function? Yes No
Are you an incorporated not-for-profit organisation?
(If yes, please attach evidence of this) Yes No
If we receive calls from attendees at your event, do we have your permission
to give your contact details to the callers? Yes No
I hereby acknowledge that I have read a copy of the 'Conditions of Hire’ form as attached
and agree to abide by the conditions therein. I acknowledge that the costs incurred due to
breakage, damages or not leaving the premises in a clean and tidy condition will be charged
to my account and any additional costs shall be rendered by myself or the organisation named
above.
Signature:
Date:
Please make cheques payable to the “Asthma Foundation WA”.
***Incomplete Applications Will Not Be Accepted***
Office Use Only
Date Received
Staff Member

CONDITIONS OF HIRE
ASTHMA FOUNDATION WA – TRAINING FACILITY
BEHAVIOUR OF PATRONS
The hirer is responsible for the behaviour of all patrons using the booked rooms.
Antisocial behaviour is not acceptable and patrons displaying antisocial behaviour must vacate
the facility when requested.
The behaviour of children will be the responsibility of the parents or carers concerned and must
be supervised at all times.
BINS
Bins are provided and are to be used with no exceptions. Please ensure waste that is considered
large scale is deposited into the bins located in the basement at the conclusion of the booking.
BOOKINGS
All bookings must be made in writing, excluding one-off casual bookings. The Account Contact
Person must make all bookings, amendments and cancellations.
Annual bookings are periodically reviewed and are NOT valid until booking confirmation has
been sent in writing from Asthma Foundation WA.
For functions/events a booking request form must be submitted, including details of set up and
clean up time. Charges will apply for room hire, set up time and clean up time. Bookings are
NOT valid until a confirmation has been sent in writing from Asthma Foundation WA.
BONDS & TARIFFS
A damage bond will apply to bookings scheduled outside of Asthma Foundation WA operational
hours.
A tariff will also apply to bookings scheduled outside of Asthma Foundation WA operational
hours to cover staffing costs.
Bonds will be refunded by cheque, made out to the name and address on the booking form,
subject to compliance with conditions.
BREAKDOWNS
In the event of a breakdown in services, utilities, equipment, etc. no responsibility will be
accepted by Asthma Foundation WA but every care and precaution will be taken in this regard.
CANCELLATION, REFUNDS AND TENTATIVE BOOKINGS
Asthma Foundation WA reserves the right to cancel any bookings and any amounts paid will
be fully refunded.
Cancellation by the Hirer must be received in writing 28 days prior to the booking date for
Major and Minor Events. Where a cancellation is less than 28 days prior to the event, a refund
will not be given. All other booking cancellations or amendments must be made in writing with
a minimum of 24 hours notice prior to the booking.
Bookings are not secure without confirmation in writing.

CLEANING
Rooms and toilets are required to be left in a clean and tidy condition immediately after use,
including the removal of all rubbish and personal belongings. Please note, if the Hirer requires
time for cleaning the room after use, the Hirer must request this in the booking request form
and will be charged accordingly.
CURFEW
The curfew for Asthma Foundation WA is the regular closing hours unless prior arrangements
have been made with management. Please ensure you have vacated the facility at the designated
time as stated on your booking confirmation. Failure to do so may jeopardise future booking
requests, and will result in additional charges. Please adhere strictly to booking times as any
usage outside the agreed booking time will incur a minimum of one hour room hire fee (specific
to your booking), along with staff charges if applicable.
All activities must end at the hire time designated by Asthma Foundation WA.
DAMAGE
The Hirer must inform Asthma Foundation WA Staff if any damage is discovered prior to
usage. In the event of damage to the facility resulting from the function the Hirer will be held
responsible and will be charged for any repair costs which will be determined by management.
The driving of nails and screws etc. into any part of the building fixtures and fittings is forbidden.
DECORATIONS
As mentioned above the driving of nails and screws etc. into any part of the building fixtures
and fittings is forbidden. All decorations must be removed after completion of function. All
decorations must be approved by management prior to their placement.
ELECTRICAL EQUIPMENT
If a hirer provides any form of electrical equipment it is required to be tagged in accordance with
Australian Standard AS/NZS 3760:2001 - In Service Safety Inspection and Testing of Electrical
Equipment requires that all electrical equipment such as urns, kettles, stereo systems, extension
cords and heaters be inspected, tested and tagged on a regular basis. This equipment is to be
identified in the application.
EQUIPMENT
Tables and chairs are supplied for the duration of your booking. Please ensure these are returned
to the correct area of storage. Chairs must be clean and stacked in groups of no more than 4.
Tables must be cleaned, folded and stored in an upright position.
FEES & CHARGES
Customers will be quoted on current fees and charges, however charges are subject to change
due to the adoption of new fees and charges.
HIRED AREA
People attending functions/bookings are to remain within the area hired. Consideration of
others is appreciated.
HIRER'S POSSESSIONS
Articles and goods left during the hire of the centre's facilities are left at the hirer's/owner's
own risk. Asthma Foundation WA accepts no responsibility for any items left on the premises.

LAW AND ORDER
The Hirer of any facility shall comply with the provisions of the Health Act, Liquor Act, Police Act
and Criminal Code, or any other Act in force.
LIABILITY
Hirer’s of Asthma Foundation WA Facilities have some cover for their public liability depending
on the activities being undertaken. Regular hirers and groups/organisations and the like are
encouraged to arrange their own public liability insurance.
LIQUOR
Prior written consent from Asthma Foundation WA must be obtained if alcohol is proposed to
be consumed at the event or function. Alcohol on a "BYO basis" for guests to an event will not
be permitted. Permission from management must also be obtained when selling liquor prior to
applying for an Occasional License
Occasional License: Where a charge for entry or payment for alcohol is involved an Occasional
License must be obtained from the Liquor Licensing Division, Hyatt Centre, 1st Floor, 87 Adelaide
Terrace, Perth, fourteen (14) days prior to the event. A copy of this Licence must be forwarded to
Asthma Foundation WA before the event and must be shown on inspection by any authorised
person within the licensed premises.
Asthma Foundation WA are not required to hold or obtain liquor licenses for events or functions
which are not run or organised by Asthma Foundation WA.
NOISE
The Hirer must ensure that no undue noise whether in the centre or by leaving the venue is
created by patrons. Any complaints received from adjacent residents could jeopardise future
applications. If noise is excessive, it may result in the booking being shut down and no refund
for the remainder of the booking fee given.
Hirers must consider other centre users in regard to noise. If noise is deemed as excessive the
Hirer must rectify the problem immediately. Please be aware that the partitions are not sound
proof and you may be booked near a group who will be playing music or making noise.
PAYMENTS
An invoice is issued upon confirmation of the booking. The Hirer must finalise their account
prior to the event (This includes bond payment).
REFUSAL
Asthma Foundation WA reserves the right to refuse to let the facility or any portion thereof
without assigning any reason for refusal.
SEVERAL APPLICATIONS
In the event of two (2) or more applications being received for the hire of any portion of the
facility at one time and date, Asthma Foundation WA may without considering priority of
application, determine to which applicant the booking shall be granted.
SMOKING
Asthma Foundation WA adopted policy prohibits smoking inside any Asthma Foundation WA
owned facility or within 50 metres of Asthma Foundation WA owned facilities.

FEES AND CHARGES
VALID UNTIL 30 JUNE 2014
All prices include GST
TRAINING FACILITY
All prices per hour:
Commercial Rate: $ 70.00
NFP & Community Rate: $ 42.00
Commercial Rate Half Day (4 Hrs): $ 260.00
Commercial Rate Full Day (8 Hrs): $ 495.00
NFP & Community Rate Half Day (4 Hrs): $ 150.00
NFP & Community Rate Full Day (8 Hrs): $ 250.00
Venue Bonds may apply for afterhours bookings: $500.00
Catering:
POA