Form title Event Equipment Application Form info Prior to completing this form we recommend you check the availability of any equipment you wish to borrow by phoning 8930 0300 and making a tentative booking. Please note, you will require a copy of your Public Liability Insurance Certificate of Currency to complete this application. Details of applicant City of Darwin Booking Number This number will be provided to you when you make a tentative booking on any equipment. Contact person Organisation name Phone Email Postal address Details of event Name of event Location Start date Start time End date End time Description Equipment to hire Smoothie bikes How many smoothie bikes would you like? - Select -12 Please note Smoothie Bikes are supplied free of charge to community events to encourage healthy food choices. No alcohol or junk food is to be used in conjunction with the bikes. Fun and games equipment Fun and games equipment options Super 4 Connect 4 Mega 4 in line Plastic stilts Giant snakes and ladders Large 60cm plastic chess pieces Large parachute – 7m with 16 handles Quoits set On target 4 Person team walkers Flexible rubber blocks Deluxe 23m soft tug of war rope Walkabout game (indoor use only) Accessible flooring How many metres of flooring would you like? - Select -5m (1 roll)10m (2 rolls)15m (3 rolls)20m (4 rolls)25m (5 rolls)30m (6 rolls) Sound equipment Sound equipment options Mipro - battery operated, single speaker on wheels ($58) PA system ($111) Please note if hiring the PA system, you are required to engage the services of a sound technician to set up and operate the equipment. staging Staging info Tick this box to request a quote if you are require delivery, installation or bumpout outside of hours. Stage kit is delivered, set up, packed down and collected from site by Council, Monday to Friday between 8am and 4pm. How many panels would you like? - None -1 panel2 panels3 panels4 panels5 panels Collection and return details Collection info Dates and times for the collection and return of event equipment is dependent on staff availability. We will do our best to accommodate your preference but can’t guarantee it. If we need to negotiate a different time and/or date we will be in touch. Please note: Accessible Flooring, Fun and Games, Smoothie Bikes and Sound Equipment are stored at the City of Darwin Civic Centre. Access times are as follows: Fun and Games - 9am to midday Accessible Flooring - 9am to midday Smoothie Bikes - 9am to 4pm Mipro - 9am to 4pm PA System - Midday to 4pm Proposed pickup time and date (weekdays only) Proposed return time and date (weekdays only) Supporting documentation Public liability insurance certificate One file only.2 MB limit.Allowed types: gif, jpg, jpeg, png, pdf, doc, docx. Acknowledgements acknowledge Before submitting, please ensure you have read and understand the following Event Equipment Hire Conditions of Use City of Darwin Privacy Statement cond Conditions of use I acknowledge that I have read and understand the City of Darwin Event Equipment Hire Conditions of Use. priv Privacy Statement I acknowledge that I have read and understand the City of Darwin Privacy Statement.