Online Form - Facility Booking Request

Before submitting this form view our Book a Facility webpage.

Booking Request/Contact Details

Request Booking time:

Event/Function Details

Are you a not-for-profit/community group? (registered with the ATO) *
Is the event being advertised or promoted?
Is this a ticketed event?


Will there be sound amplification at the event? (e.g. live music, PA announcements, recorded amplified music)

Food, Alcohol and Security

Will food or soft drinks be sold or provided?
Will alcohol be consumed? (If YES you will have to complete an Alcohol Form on successful booking) *
Do you intend to sell alcohol? (If YES, you will have to contact the Department of Racing, Gaming and Liquor at *
Is this event an under 18s event? *
Is this event an 18th or 21st birthday party? *
If YES, do you intend to organise security personal/crowd controllers if necessary?
For any private parties or events with alcohol please make sure to inform the Police here:


I/WE have read, understand and agree to abide by the Terms and Conditions of Hire located on the Shire's website if your booking is successful. I/We agree to indemnify the Shire of Serpentine Jarrahdale against all actions, claims, demands or cost arising out of connection with the hire of the facility. In consideration for the use of the facility owned by the Shire of SJ, I/WE agree to hold the Shire of SJ harmless for any damages, acts or incidents that occur as a result of the above event held by me/us. Further, I/we assume all liability for specific losses arising from the event listed above and release the Shire of SJ from all liability and cost incurred from the event. By typing your name above, you warrant that you have the appropriate authority to sign for and on behalf of the hirer.

I have read and agreed to the Facilty Hire Terms and Conditions. *
Bonds will be calculated ($250-$2000) based on your application. A staff members will be in touch following receipt of your booking. *

Get Audio Code