Booking Request HiddenRecord ID Incremental ID Name(Required) First Last Is this application on behalf of an organisation with an ABN(Required) Yes No Organisation Name(Required) ABN(Required)Contact email address(Required) Contact Number(Required) Booking Location(Required) Stawell StArnaud Halls Gap Council Venue required(Required) Start date Venue required(Required) DD slash MM slash YYYY End date Venue required(Required) DD slash MM slash YYYY Start Time(Required) Hours : Minutes AM PM AM/PM EndTime(Required) Hours : Minutes AM PM AM/PM Reason for booking(Required)Please briefly describe the booking/event and what activities will take place if applicable.Privacy Collection StatementPersonal information requested on this form will only be used by council to carry out its functions and activities and will not be disclosed without your consent except where authorised by law. If you do not provide all or part of the personal information required we may not be able to process your request in an effective and efficient manner. You have the right to seek access to and correction of your personal information.I acknowledge that(Required) I have read and understood the Privacy Collection Statement and consent to my personal information being used for the purpose specified.