Room Rental Inquiry Form

Room Required:[1]
The Meeting Place (Room 1 & 2)Meeting Room 1Meeting Room 2Counselling RoomGail RoomOpen AreaChildren's Resource Room

What time do you require the room from?
Hours Minutes

Until what time will you require the room?
Hours Minutes

What type of booking will it be?
Once OnlyWeeklyFortnightlyMonthly

What date do you require the room?
Day Month Year

If you require several dates please enter them below.

First Name

Surname

Organisation

Address

Suburb/Town

State

Postecode

Phone

Email

Additional Requirements or Questions

  1. [1] Open area and Children's room Available weekends and after hours only[]