Part 1
HIRER
Provide full name and address details of company, organisation or individual |
Name |
Address (Postal) |
(Street) |
Town/City |
Phone (0 ) Fax (0 ) |
Email |
Part 1a
HIRER’S REPRESENTATIVE (See TAC 1)
Name |
Contact details if different from Part 1. above |
Address (Postal) |
(Street) |
Town/City |
Phone (0 ) Fax (0 ) |
Email |
Part 2
EVENT DETAILS
Event Name |
Nature of Event |
No. of Performances |
|
|
|
Date: |
Time: |
Audience size (est.): |
Part 3
FACILITIES WANTED P
Main auditorium |
|
Backstage |
|
Theatre Bar & Balcony |
|
Events Hall (A & B) |
|
Events Hall A |
|
Events Hall B |
|
Small Meeting Rooms |
|
Other/Combination |
|
Part 4
INSURANCE (See TAC 25.)
|
Yes |
No |
Do you have public liability insurance for this event? |
|
|
Do you require assistance with insurance cover? |
|
|
Part 5
HIREAGE DATES & TIMES
Date and time of event(s), rehearsal(s) and/ or performance(s) |
Date: From: To:
Date: From: To:
Date: From: To: |
Pack in/out dates, times |
Date: In From: To:
Date: Out From: To: |
Part 6
SERVICES REQUIRED P
Ushers (mandatory for Main Auditorium) |
|
Other front of house staff |
|
Technical support: lighting/sound (specify in appendix) |
|
Bar Service* |
|
Food & Beverage (specify in appendix) |
|
Security (specify in appendix) |
|
Labour |
|
Extended Liquor License (specify in appendix) |
|
Ticket Sales (instead of, or supplementary to, own agency) |
|
Promotional Support (ref TAC 18) |
|
Preferential Seatholders’ canvass (refer TAC 7) |
|
*Bar Service is normally provided by The Centre for events in the Main Auditorium. Hirers of other facilities should check availability.
Part 7
MISCELLANEOUS
Own ticketing agency? Name: |
Prior receipt of goods/equipment at venue: Date: Time: |
Advice of venue layout requirements: Date: Time: |
Advice of final attendance numbers by: Date: Time: |
Part 8
PAYMENT
Tariff |
|
Deposit |
|
Deposit due |
|
Cleaning bond |
|
Invoice amount |
|
Payment due |
|
Part 9
ACKNOWLEDGEMENT
By executing this agreement we/I acknowledge that we/I have received and understood the terms and conditions of hire furnished by The Centre at Kerikeri Limited and agree to comply with these.
Signed for the Hirer by (Name in writing) ____________________________________________________
(Signature) ____________________________________________________
Date: ____________________________________________________
