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Arafura Athletics Stadium General Stadium Hire Form

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					                     Arafura Athletics Stadium
                    General Stadium Hire Form

Event Date:

Organisation:

ABN:

Postal Address:

Phone:

Fax:

Contact Name(s):       (1)

                       (2)

Email Address(es):     (1)

                       (2)

Mobile Number(s):      (1)

                       (2)

Approximate Number of Participants:

Event Start Time:

Event Finish Time:

Date of Application:
    Arafura Athletics Stadium Map



                           Shot
                           Put 2                                          Discus /
                                                                          Hammer

       High Jump 1


   Javelin 2                                                                           Javelin 1


        High Jump 2
                                                                                                   Javelin 2
                                                                              Shot
                             Discus 2                                         Put 1                                Exit Gate




                                                Long Jump     >1
                      2 < Long Jump > 1         Triple Jump   >1

Fence Line


                                    Toilets &                      Canteen              Control Room
                                    Change
                                    Rooms                                                Photo Finish


                                      Athletics NT & NTIS Building
                                                                                g
                           Athletic NT & NTIS Staff Parking Only                a             Public Car Parking >>>
                                                                                t
                                                                                e


    Equipment Required
    Please tick the Field equipment required for your booking next the related events:


    Javelin                  400g                500g              600g               700g              800g

    Shot Put                 1 kg                2kg               3kg                4kg               5kg

    Discus                   500g                750g              1 kg               1.5 kg            1.75 kg

    Long Jump                Rake                         Shovel                      Spike

    High Jump                Uprights                    Cross Bar                    Height Bar
Hire Fees and Charges

                       Item                               Unit               Total
 Number of Hours
 Total Stadium:              hrs                         $55/hr
 Track Only:            hrs                              $30/hr
 Oval Only:            hrs                               $30/hr

 Lighting additional after 6:00pm:         hrs           $15/hr


 Set Up & Pack Up                                       $50/day


 BBQ Hire (gas not provided)                            $25/day

 PA system with Radio Microphone                        $25/day


 Change Room 1 for First Aid Station                    $25/day

 Security Bond (refer to 16 (d) in the
                                                        $200.00
 Terms & Condition)

 TOTAL AMOUNT
                                     **GST Included**
                                     Office Use Only

                       Late Booking Fee.                                          $50.00

                       Additional Hourly Rate (applicable outside
                       of initial hire times at $55/hr).
                       Surcharge 15% for Weekend and Public
                       Holiday Events.

                       TOTAL INVOICE AMOUNT



All traditional track and field equipment is provided by Athletics NT as part of the Stadium
Hire. Equipment not provide by Athletics NT:

•   Stop Watches, Tape Measures, Starters Pistol, and Relay Batons.
Bank Account Details
Please provide your bank details for refund of the Security Bond:
Account Name:
B.S.B:
Bank:


NT Athletics bank details for payment of account:
Account Name:                  N T Athletics
B.S.B:                         035302
Bank:                          697392




Terms and Conditions of Hire

Please read the Terms and Conditions of Hire.

Do you accept the details outlined in the Terms and Conditions of Hire?
                               YES             NO


I hereby agree to all Terms and Conditions of Hire and the Code of Conduct for the Arafura
Athletics Stadium and will abide by all the related documents.


Signature (1):                                                   Date:


Signature (2):                                                   Date:


Any damage to equipment or the facility will be required to be made good by the Hirer, refer
to Clause 17 of the Terms and Conditions.


Please fax, mail or handed this application to Athletics NT with payment at least 30 days
prior to your Event. A late booking fee of $50 may apply if 30 days notice is not given.


Athletics NT will contact you to confirm your request and will issue an invoice.

				
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Description: Arafura Athletics Stadium General Stadium Hire Form