Venue Hire Booking Form

Venue Hire Booking Form
Are you from an ADAQ affiliated Study Club? *

Yes No
Name of Study Club
Name of organisation
Contact details
Name *

First Name Last Name
Email *
example@example.com
Mobile number *
Job title
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home/Work phone number

Area Code Phone Number
Event details
Approximate number of attendees *
Venue *

ADAQ Simulation Lab ADAQ CPD & Training Centre ADAQ Simulation Lab + ADAQ CPD & Training Centre
Preferred table set-up: *

Classroom style Exam Theatre Workshop Boardroom Cocktail
Date *

Day Month Year
Date
Time *

: Hour Minutes AM/PM Option
Until
until : Hour Minutes AM/PM Option
Will you be providing catering for the event? *

Yes No
Additional notes
Example: proposed dates for recurring events, special requests, etc.
Catering details
Caterer's name
Caterer's contact number
Caterer due to arrive at:

: Hour Minutes AM/PM Option
Type of food

Lunch Dinner Finger food
Please review the Venue Hire terms and conditions for Study Clubs and Affiliates before submitting your booking form.
Please review the Venue Hire terms and conditions before submitting your booking form.
Declaration *

I have read and understand the ADAQ Venue Hire Terms & Conditions
Enter the message as it's shown *
Should be Empty:

Contact details