Please complete the form below to apply to use the CBBC clubrooms for a private function. CBBC Clubrooms Private Function Policy CBBC Private Function ApplicationCBBC Member requesting the use of the CBBC Clubrooms for a private function.Member's First Name *Member's Last Name *Street Address *CityStatePostal codeMember's Phone *Member's Email Address *Is the Applicant an Individual or an Organisation? *IndividualOrganisationName of Organisation *Upload Public Liability Insurance 'Certificate of Currency' *Organisations will need to submit a 'Certificate of Currency' for public liability insurance.Choose FileNo file chosenDelete uploaded fileProposed Date of Event *Day *Month *Year *Propsed Start Time of Event *HoursMinutesAM/PMAMPMProposed Finish Time of Event *HoursMinutesAM/PMAMPMWill you require access to the venuw for setup. If so, please indicate the time your require access?Approximate Number of Guests *Please enter the number of guests likely to attend the eventWill you require the CBBC Bar to be open and serve guests alcohol? *This option is subject to approved volunteer availability.YesNoHow many hours of Bar staff are required *Hours of Bar staff requiredPayment SectionA Security Bond of $300 will be added to your invoice. The bond will be refunded iafter an inspection confirms the facilities have been left in a clean and tidy condition and nothing has been damaged. A cleaning fee may be deducted from the bond if the facilities are not left in a clean and tidy condition. This Bond may be waived at the discretion of the CBBC Committee.If your application is approved, you will receive an email with payment information.Estimated Payment Due (if approved).$SignatureBy signing here, I agree to comply with the "CBBC Clubrooms Private function" policy.Start signing your signature hereYour browser does not support e-Signature field.Submit