NAPIER CITY COUNCIL
EVENT BOOKING FORM FOR
THE RODNEY GREEN CENTENNIAL EVENT CENTRE,
THE CHAPMAN PAVILION PETTIGREW LOUNGE 1, THE CHAPMAN PAVILION CORPORATE
LOUNGE 2, THE GRAEME LOWE STAND CORPORATE LOUNGE 1, THE GRAEME LOWE STAND
CORPORATE LOUNGE 2 AND ANCILLARY FACILITIES.
Please sign and return the completed form by one of the following methods: Deliver in person to Works Asset
Department, First Floor, Civic Building, 231 Hastings Street, Napier; post to Works Asset Department, Napier City
Council, Private Bag 6010, Napier 4142; scan and email to
[email protected]; fax to (06) 834 4195.
Today’s Date: / /
Event Details
Name of Event(s):
Main purpose of Event (Activity):
Setting up Date: Setting up Time:
Event Start Date: Event Start Time:
Event Finish Date: Event Finish Time:
Pack Out Complete By Date: Pack Out Complete By Time:
TYPE OF BOOKING: (please tick)
1) Local Sports Bodies – Seasonal Hire
2) Sports Bodies, Not for Profit and Local Community Benefit (non commercial)
3) Commercial
Comments:
Estimated number of people attending:
Will there be an admission charge? Yes No if yes, how much will it be?
Contact Details
Name of Club/Group/Organisation:
Name of Contact Person:
Contact Address:
Postcode:
Telephone Number: (day) (mobile)
Email: Fax:
Areas and Service Requirements
AREAS: (please tick)
Rodney Green Centennial Event Centre
Main Hall
Kitchen (Please include Caterer’s details) Caterer’s details
Dining Room
Male Changing Room
Female Changing Room
Meeting Room 1 (small)
Meeting Room 2 (large) (Check availability before booking)
Mezzanine Floor Extra Floor Attendant is required
Chapman Pavilion Pettigrew Lounge 1
Chapman Pavilion Corporate Lounge 2
Graeme Lowe Stand Corporate Lounge 1
Graeme Lowe Stand Corporate Lounge 2
Graeme Lowe Stand Kitchen (Please include Caterer’s details) Caterer’s details
TOILETS: (please tick)
Rodney Green Centennial Event Centre Required Serviced*
Main Hall Toilets – Male Yes No Yes No
Main Hall Toilets – Female Yes No Yes No
Foyer Toilets – Male Yes No Yes No
Foyer Toilets – Female Yes No Yes No
Chapman Pavilion Pettigrew Lounge 1 Yes No Yes No
Chapman Pavilion Corporate Lounge 2 Yes No Yes No
Graeme Lowe Stand Corporate Lounge 1 Yes No Yes No
Graeme Lowe Stand Corporate Lounge 2 Yes No Yes No
OTHER REQUIREMENTS: (please tick)
Basketball Hoops Retracted (6 in total) Number:
Plastic Chairs (100 available) Number:
Basketball Scoreboard
Lifts
Urn
Event Liquor Licence
Event Food Vending
Reserved Car Parking Number:
Traffic Management Plan
Notice Board (Main car park entrance) Dates required: to:
Graeme Lowe Stand Lounges 1 and 2 (Extras)
Tables 26 available Number:
Chairs 260 available Number:
HIRER’S EQUIPMENT AND SETUP: (please tick)
Floor Layout Plan Yes No Please attach a copy
Electrical Yes No Specify
Decoration Yes No Specify
Sound Yes No Specify
Structural Yes No Specify
*Servicing/cleaning during event – (hours to be confirmed by Custodian the following day and invoiced accordingly)
HIRER’S EVACUATION REQUIREMENTS:
Venue Maximum Attendance Total Number of People
at any time? Attending the Event?
Rodney Green Centennial Event Centre
Chapman Pavilion Pettigrew Lounge 1
Chapman Pavilion Corporate Lounge 2
Graeme Lowe Stand Corporate Lounge 1
Graeme Lowe Stand Corporate Lounge 2
PUBLIC LIABILITY INSURANCE: (please tick)
Hirer’s own Public Liability Insurance (attach certificate)
Napier City Council’s Public Liability Insurance Cover (Hall Hirer’s Insurance)
DISCLOSURE:
I, the above mentioned hirer, acknowledge that I have received and understood the “Conditions of
Hire for the Rodney Green Centennial Event Centre, the Chapman Pavilion Pettigrew Lounge 1, the
Chapman Pavilion Corporate Lounge 2, the Graeme Lowe Stand Corporate Lounge 1, the Graeme
Lowe Stand Corporate Lounge 2 and ancillary facilities”, and agree to abide by the same.
Name: Signature:
(Please print) Hirer or Authorised Agent
Date: / /
OFFICE USE ONLY:
Available: Yes No Approved: Yes No Confirmed: Yes No
Signed
Restrictions/Conditions:
Evacuation requirements:
Senior Floor Attendant NCC User Number:
Floor Attendant/s NCC User Number:
Evacuation Co-ordinator NCC User
Please tick when completed
Deposit/Bond - Invoiced Date: No: $
Deposit/Bond - Paid Date:
Balance of Account - Invoiced Date: No: $
Balance of A/c Paid/Bond Refunded Date: No: $
Floor Plan Received/Approved Date:
Projects Events List
Copies to Custodian & City Cleaning Services Manager Date:
Depot informed - Senior Floor Attendant Date:
Liquor Licence Sighted
Keys and/or Swipe cards issued Date: Key: Swipe/c:
Keys and/or Swipe cards returned Date: Key: Swipe/c:
Alarm Monitoring Services notified
Site inspected Date:
