Venue Hire Application

Dougherty Community Centre
7 Victor Street, Chatswood NSW 2067
Phone: +61 (2) 9777 7800 Fax: +61 (2) 9413 4679
email: dcc@willoughby.nsw.gov.au

Fill out this form to book a venue in the Dougherty Community Centre.

Please note: this booking is not confirmed until the completed venue hire form and full payment have been received. Verbal enquiries are not accepted as tentative bookings.

Booking times must include set up and vacating period. It is expected that your group will have fully vacated the room by the end of your booking period. Overstayers and earlycomers will be charged at double the applicable hourly room rate for extra time beyond the booked period.

All bookings will be charged at Commercial rate if a copy of your non-profit registration has not been supplied/on file. 100% payment is required prior to event. Cancellation fees may apply.

Read the  Dougherty Centre Room Hire Terms and Conditions (39.29 KB) and the Dougherty Centre Evacuation Diagram (327.20 KB).

When your form has been successfully submitted you will receive an email notification. If your form does not submit properly, please ensure all mandatory fields have been completed. Mandatory fields will be marked with * or highlighted red.

IF YOU DO NOT RECEIVE A BOOKING CONFIRMATION IN 3 WORKING DAYS, PLEASE CONTACT US TO ENSURE YOUR BOOKING REQUEST HAS BEEN RECEIVED.

Fields marked with an asterisk () are mandatory.

Contact Details

Name of event (for display board)

Organisation/Company Name

Contact Person

Invoice Address

Postcode

Phone Number

Mobile

Fax Number

Invoice to be Addressed to (if different from above)

Email

Booking Details

Date(s)

Arrival Time (must include set up)

Departure Time (must include clean up)

Number of People

Type of Function (for example, meeting, private function, workshop)

Will you be selling/serving alcohol? (If yes, 'Notification of Intent to consume alcohol' form must be completed.)

• Yes
• No

Preferred Room? (Choose One)

• Auditorium (accommodates up to 128 max theatre style)
• Auditorium & Extension (accommodates up to 188 max theatre style)
• Craft Room (accommodates up to 35 max theatre style)
• Meeting Room (accommodates up to 30 max theatre style)
• Extension (accommodates up to 40 max theatre style)
• Studio (accommodates up to 15 max theatre style)
• Annexe (accommodates up to 55 max theatre style)
• Hideaway (accommodates up to 15 max theatre style)
• Function Room (accommodates up to 80 max theatre style)
• Room 1 (accommodates up to 6 max boardroom style)
• Room 2 (accommodates up to 6 max boardroom style)
• Kitchen
• Waratah - evenings/weekends only (accommodates up to 10 max boardroom style)

Room Set Up Required?

• Theatre (rows of chairs)
• U-Shape
• Boardroom (chairs around a table)
• Classroom (chairs at individual tables)
• Other (please specify below)

Please specify set up requirements not listed above

Day

Equipment Required

Equipment Required (free of charge)

• Microphone
• Stereo
• Whiteboard
• Data Projector
• TV/video
• TV/DVD
• Other (please specify below)

Please indicate where you heard about the Dougherty Community Centre

• Website
• Word of Mouth
• Previous Hirer
• Council
• In-House Advertising
• Other

Does your event require catering (If required, please call 02 9777 7800 to confirm catering arrangements)

• Yes
• No

Please specify any equipment requirements not listed above

Non-Profit Registration and Public Liability Insurance

Copy of Non-Profit Registration Supplied (please email or fax)

• Yes
• No
• Previously supplied
• Not applicable

Copy of Public Liability Insurance Supplied (please email or fax)

• Yes
• No
• Previously supplied
• Not applicable

Terms and Conditions of Hire

I have read and understood the Dougherty Community Centre Conditions of Hire document and evacuation procedures and acknowledge that this room hire is subject to my/my group's compliance with these conditions.

• Yes