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Application for Sportsground Use and Related Facilities Permit

Application for Sportsground Use and Related Facilities Permit

Use this form to book a sportsground and associated facilities for a season. For more information call 03 6217 9695

Postal address of Permit Holder(Required)
Is the postal address for invoices different to above?
Postal address for invoices to be sent

Booking contacts

Contact one(Required)
Contact two(Required)
In the event of council closing sportsgrounds over a weekend, please provide details of your association’s representative who can be contacted.
Representative's Name(Required)

Sportsground/facility details

Booking details

Your booking details (use + to add more bookings)(Required)
Sportsground / Facility
Days of the week
Dates (start to finish)
Times (start to finish)
Training (T) or Matches (M)
Lights for matches Time on – off
No. of players
Snr/Jnr Male/ Female
 
**IMPORTANT: Lindisfarne No. 1 and No.2, Geilston Bay No.1, North Warrane, Clarence High and Cambridge New Soccer and Risdon Vale have sportsground lighting programmed remotely. If hiring one of these Premises for matches, you must complete the “Lights for Matches Time On-Off column. These times should make allowances for setting up/packing up, if required. Please advise any changes to the light times that may occur after you have submitted this permit.

Public Liabilty

Drop files here or
Max. file size: 2 MB.
    If you are a commercial business or incorporated association and do not have a minimum of $20 million public liability insurance, you are not permitted to hire the Premises until you have obtained appropriate insurance cover.
    Acknowledgement(Required)
    I have downloaded, read and agree to the Terms and Conditions for sportsground use and related facilities permit 2024.


    This form is signed by the Permit Holder as acknowledgement and acceptance of the Permit Conditions. The Permit Conditions include the details in this application form and the annexed Permit Conditions.
    This permit is valid upon payment of all fees due and written advice from council that the permit has been issued to the Permit Holder. The Permit Holder confirms by signing this permit that they have authority to act on behalf of the Permit Holder in relation to this permit application and understand the Permit Conditions.


    Privacy statement The personal information on this form is required by council for facilities management under the Public Places By Law No. 1 of 2018. We will only use personal information for this and related purposes. If this information is not provided, we may not be able to process the application. The Permit Holder may access and/or amend their personal information at any time. How Council use this information is explained in our Privacy Policy, which is available at www.ccc.tas.gov.au/privacypolicy or at council offices.

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    Clarence City Council
    38 Bligh Street
    (PO Box 96)
    Rosny Park
    Tasmania 7018
    ABN 35 264 254 198

    Telephone
    03 6217 9500

    Email
    clarence@ccc.tas.gov.au

     

    Acknowledgement

    Clarence City Council pays respect to all First Peoples, including the Mumirimina (mu mee ree mee nah) of the Oyster Bay Nation whose unceded lands, skies, and waterways we are privileged to conduct our business on. We pay respect to Elders past and present, and we acknowledge the survival and deep spiritual connection of the Tasmanian Aboriginal People to their Country, and culture; a connection that has endured since the beginning of time.

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