Home
Public Swimming
Emperors Swimming Club
Pool Hire
Sponsor
SQUIDS
Menu
Home
Public Swimming
Emperors Swimming Club
Pool Hire
Sponsor
SQUIDS
Membership
Pool Hire Request Form
SAPSASA hourly rate plus entry $40/hr
School Carnivals hourly rate $40/hr
Swimming lessons charged $3 entry per child (no hourly rate)
Splash Days hourly rate of $40/hr
Private hire $30/hr for Fully Qualified Lifeguard + $30 Cleaning Fee (mandatory for private hire)
Cleaning fee $30 may be required
contact Rochelle 0409 693 226 for more information
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 3
Name of Organisation / Group or Person wishing to hire the pool.
*
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Email
*
Email
Confirm Email
Phone Number
*
Name of Event
*
Type of Event
*
SAPSASA Trials
School Carnival
Swimming Lessons - School based
Splash Day - School based
Private Hire
Other
Please note that the Private Hire of the pool now requires a FULLY QUALIFIED LIFEGUARD on duty at all times at a cost of $30 per hour, plus a $30 cleaning fee. If a lifeguard is unavailable to supervise your event date or time, you may be unable to hire the pool, we will let you know the outcome of your request as soon as possible.
You chose other, please tell us what you are wanting to hire the pool for...
Date of Event
*
Time of Event Start
*
Time of Event Finish
*
Details of Contact Person
*
First
Last
Must be 18 years or over and will be in charge and take responsibility for the safety, behaviour and welfare of all people attending.
Address if different from above...
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Next
Brief description of the event
*
Approximate number of people attending?
Adults Attending
Students attending
Preschoolers Attending
Will the canteen need to be opened and operated by Committee Personnel?
*
Yes
No
A qualified Lifeguard will need to be in attendance for private hire. There is a cost of $30/hour for the lifeguard as well as a $30 cleaning fee
*
Yes I acknowledge this
Will those attending be covered by your organisations public liability
*
Yes
No
Name of Insurer
Please attach a copy of your policy
Will you clean the change room facilities after use, or would you like us to?
*
I/we will clean the change room faciilities after use - $ 0.00
Please have someone clean the change facilities for us after use - $ 30.00
Next
Declaration of contact person
I understand and agree to the following pool rules and conditions and will do everything possible to ensure that all people attending this event will follow these rules.
RULES
(these are to ensure the safety of all persons using the pools)
Children under ten years of age must be accompanied by an adult 18 year or over.
No glassware or glass bottles are permitted on the premises.
No smoking is permitted anywhere on the premises.
No alcohol is permitted on the premises.
Swimmers must shower prior to entering the water for the first time.
No running on concrete perimeter of pools.
No running dives, back flips or bomb dives.
No rough play, pushing, dunking or unnecessary interference with other swimmers.
No indecent or offensive language or behaviour.
All persons are to abide by the instructions from and decisions of the person in charge and the lifeguard without question.
Conditions:
The permit holder agrees to indemnify and to keep indemnified the Northern Areas Council, it's servants and agents and each of them from and against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against them or any of them arising out of or in relation to the issuing of the permit.
The permit holder shall take out and keep current a public risk insurance policy in the name of the permit holder insuring the permit holder for the minimum sum of ten million dollars ($10,000,000) against all actions, costs, claims, damages, charges and expenses whatsoever which may be brought or made or claimed against the permit holder in relation to the activity.
The permit holder, where appropriate, shall ensure that it is licensed or registered to carry out the activity authorised by the issuing of this permit.
The permit holder shall proved adequate supervision and ensure the supervisors have first aid qualifications.
The permit holder must provide conformation of insurance to the Northern Areas Council.
The permit holder shall ensure that the site is left in a clean and tidy condition at the end of the event. Failure to do so will result in a cleaning fee being charged.
The permit holder must inform NAC of any breakages or malfunctions occured during the usage.
Signature
*
Clear Signature
Submit
