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Community Group Enquiry Form
Booking Details
Community Group Name
*
Group Type
*
Council/Youth Group
Scout/Guide Groups
Church Group
Registered Sports Club
University Groups
School Holiday Programs/OSHC
Booking Date
*
(Booking date must be at least 2 weeks in advance) *
DD slash MM slash YYYY
Booking Time (on-ice Time)
*
Please select time
9:00am – 10:30am
9:30am – 11:00am
10:00am – 11:30am
10:30am – 12:00pm
11:00am – 12:30pm
11:30am – 1:00pm
12:00pm – 1:30pm
12:30pm – 2:00pm
1:00pm – 2:30pm
1:30pm – 3:00pm
2:00pm – 3:30pm
2:30pm 4:00pm
3:00pm – 4:30pm
3:30pm – 5:00pm
4:00pm – 5:30pm
4:30pm – 6:00pm
5:00pm 6:30pm
5:30pm – 7:00pm
6:00pm – 7:30pm
6:30pm – 8:00pm
7:00pm – 8:30pm
7:30pm – 9:00pm
8:00pm – 9:30pm
8:30pm – 10:00pm
9:00pm – 10:30pm
Total Number of Skaters
*
Please enter a number from
10
to
100
.
Number of Skaters – Adults ($21.60pp)
*
Please enter a number from
0
to
100
.
Number of Skaters – Concession/Student ($20pp)
*
Please enter a number from
0
to
100
.
Number of Skaters – Child (Under 8 years – $13pp)
*
Please enter a number from
0
to
100
.
Primary Contact Details
Please ensure these are correct so you can be contacted regarding your booking
Name
*
First
Last
Email of person filling in this form
*
Email of person liable for accounts payable
*
Phone
*
Additional Comments
Where did you hear about our Community Groups program?
*
Please select
www.obrienicehouse.com.au
Google
Social Media
Public Skating
A friend/colleague
Booking Terms
O’BRIEN ICEHOUSE TERMS AND CONDITIONS FOR ALL USERS TERMS and CONDITIONS: The following terms and conditions apply to all users (You) of the facilities at O’Brien Icehouse at 105 Pearl River Road, Docklands, Victoria. By entering O’Brien Icehouse, You are deemed to have agreed these terms and conditions with O’Brien Group Australia Pty Ltd (Supplier), the operator of the O’Brien Icehouse. 1 You acknowledge that ice skating, ice skating lessons, speed skating, figure skating, ice hockey, curling, broomball, use of the gym facilities and equipment and other sporting and recreational activities at the O’Brien Icehouse are dangerous and involve a significant degree of physical exertion and risk. You also acknowledge that the facilities may be unsupervised and that You participate in these activates at Your own risk and are responsible for Your own safety. If You do not currently undertake regular physical activity, You should seek medical advice before using the O’Brien Icehouse facilities. 2 You agree that the Supplier will not be liable to compensate You for death or personal injury (as defined in the Fair Trading Act 2012). This exclusion of liability will not apply where the Supplier has been reckless as set out in the note below. 1 You authorise the Supplier to take all steps it considers reasonably necessary to protect Your welfare in the event of personal injury, including the administration of emergency first aid. 2 You consent to the Supplier photographing or filming You, or any minor or dependent accompanied by You, when in the O’Brien Icehouse, for use for promotional purposes, including television, film, internet and all other forms of media, recording or reproduction, without any entitlement for any compensation or financial payment. 3 Your ticket remains the property of the Supplier, is not transferable and cannot be resold. It is valid only for the date/s shown. 4 You must comply with all signs or other directions of the Supplier. Your ticket or other right of access may be suspended or cancelled and access to the ice rinks and all other facilities and equipment at the O’Brien Icehouse denied at the absolute discretion of the Supplier for non-compliance or for reckless or careless conduct. 5 Children must be at least 12 years of age to use the ice rink and at least 16 years of age to use the gym at the O’Brien Icehouse, unless supervised by a responsible adult. Where You are responsible for children using the facilities at the O’Brien Icehouse, You agree to be bound by these terms and conditions on their behalf and that You will directly supervise them at all times. PRIVACY STATEMENT – See website obrienicehouse.com.au for privacy statement. WARNING: If you participate in these activities your rights to sue the supplier under the Fair Trading Act 2012 if you are killed or injured because the activities were not supplied with due care and skill or were not reasonably fit for their purpose, are excluded, restricted or modified in the way set out in or on this notice. NOTE: The change to your rights, as set out in or on this sign, does not apply if your death or injury is due to gross negligence on the supplier’s part. “Gross negligence” is defined in the Fair Trading (Recreational Services) Regulations 2012.
Accept Terms
*
I agree to the Terms & Conditions for All Users
I understand my booking is not confirmed until I receive a booking confirmation.
Full payment is required 5 business days prior to booking date.
Refunds will not be given if actual numbers differ from booked numbers.
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