BOOKING CONFIRMATION FORM
Sign in to Google to save your progress. Learn more
TYPE OF INSTITUTION *
FIRST NAME *
Indicate the Applicant First Name
LAST NAME *
Indicate the Applicant Last Name
ORGANISATION NAME (if Applicable) *
Type "None" if not Applicable. This is applicable for refunds to Organizations with banking information.
ADDRESS *
PRIMARY TELEPHONE NUMBER *
SECONDARY TELEPHONE NUMBER *
EMAIL *
RENTAL LOCATION REQUIRED *
Please tick the location/s of interest. If you are renting a Carpark space for an event, please tick Carpark.
Required
NO. OF CLASSROOMS *
If "Classroom was selected above, please indicate how many. For none, type "0".
EVENT NAME: *
EVENT TYPE *
Please give brief description.
EVENT START DATE: *
MM
/
DD
/
YYYY
EVENT END DATE: *
MM
/
DD
/
YYYY
EVENT START TIME: *
Include the minute values. eg. 08:00 am
Time
:
EVENT END TIME: *
Include the minute values. eg. 04:00 pm
Time
:
SETUP DATE AND TIME *
MM
/
DD
/
YYYY
Time
:
END OF SETUP DATE AND TIME *
MM
/
DD
/
YYYY
Time
:
REHEARSAL DATE AND TIME (THREE HOURS ONLY)
MM
/
DD
/
YYYY
Time
:
ADDITIONAL REHEARSAL DATE AND TIME (THREE HOURS ONLY)
MM
/
DD
/
YYYY
Time
:
NUMBER OF EXPECTED PATRONS/ATTENDEES: *
NUMBER OF PARKING SPACES REQUIRED: *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cipriani College of Labour & Cooperative Studies.

Does this form look suspicious? Report

Google Forms