Wairarapa College Hirer’s Application Form

Title of Hiring Group (the hirer):*
Organiser / Contact:*
Phone (Work):*
Phone (Mobile):*
Phone (Work):(1)*
Fax (Home):*
Fax (Work):*
Facilities required (Please select) :*
Usage Days Dates and Times
Start Time:*
End Time:*
Comments / Special requirements:
Note occupation outside these times may incur penalty charges.

The hirer agrees to hire the facilities at Wairarapa College and the Board of Trustees of Wairarapa College agrees to hire the venue to the hirer for the hire period on the Wairarapa Collegs terms and conditions of hire:
Hirer Name:*
Hirer Position:*
Date (Applied):
The following fields are for internal use only.
Board Representative Name:
Board Representative Position:
Date (Approved):