About You

Organisation name

ABN

Contact name(Required)

First Last

Email(Required)

Mobile(Required)

Have you booked with us before?

Yes

No

How did you hear about us?

Friend/referral

Attend centre

Shire of Serpentine Jarrahdale

Social media

Other

Please specify

Booking Type & Date

Booking Type(Required)

One-off booking

Recurring booking

Event Date

Recurring Start Date(Required)

Recurring End Date(Required)

Frequency(Required)

Weekly

Fortnightly

Monthly

Event start time

:

Event finish time(Required)

:

Setup start time(Required)

:

Pack down finish time(Required)

:

Event Details

Type of function(Required)

Please specify(Required)

Estimated number of participants(Required)

Terms & Submit

Acknowledgement(Required)

I acknowledge that submitting this form does not secure a booking. Written confirmation will be provided once the request has been reviewed and approved. Further information, including the terms and conditions of hire, will be sent via email.

Serpentine Jarrahdale Facility Hire Enquiry Form

Facility Hire Enquiry Form

About You

Booking Type & Date

Event Details

Food and Liquor

Terms & Submit