Book the track Interested in booking the track? Fill out the form below OR complete this Excel VersionWe will be in touch! Name * First Name Last Name Organisation * Position * Email * Mobile Phone * (###) ### #### Age Group or Year Level Purpose of Booking * Track Hire Track Hire ($520 +$75 Full Day, $290 +$75 Half Day or $80 per hour + $75) * Full Day Half Day Hourly Date of Hire * MM DD YYYY Start Time * Hour Minute Second AM PM Finish Time * Hour Minute Second AM PM Backup Date of Hire ($150) MM DD YYYY Equipment Required PA System ($50) * Yes No Electronic Timing Gates and Operator ($575) * Yes No Starting Blocks - Full Set ($50) * Yes No Junior Hurdles - Full Set ($40) * Yes No Senior Hurdles - Full Set ($40) * Yes No High Jump ($50) * Yes No Long/Triple Jump - Rakes and Brooms ($25) * Yes No Shot Puts ($25) * Yes No Weight(s) Discus ($25) * Yes No Weight(s) Javelins ($25) * Yes No Weight(s) Tables ($30) * Yes No BBQ - BYO Gas Bottles ($30) * Yes No Other requirements and information Insurance It is a requirement that all Hirers hold current Public Liability Insurance. Please provide the following details and a copy with this application. Not required if previously provided. Name of Insurer Policy Expiry Date MM DD YYYY Policy Number Insured Amount ($ million) $ Declaration Personal Information collected by the Mentone Track and Field Centre Inc. is for specified use requirements and related purposes only. We may need to disclose this information to other organisations if required by law/legislation or consent is given. As a delegate of the organisation specified above, by ticking the box below, I acknowledge that I have read and agree the the Hirer will comply with all requirements of the Conditions of Use should this application be successful. * I have read and agree to the Conditions of Use I am uploading a copy of our Public Liability Insurance Certificate below OR Current Public Liability Insurance Certificate has previously been provided Thank you. We will be in touch.