Venue Hire Booking Form

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

YesNo
Name of Study Club
Name of organisation
Contact details
Name*

First NameLast Name
Email*
example@example.com
Contact phone number*

Area CodePhone Number
Job title
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Event details
Approximate number of attendees*
Venue*

ADAQ Simulation LabADAQ Lecture TheatreADAQ CPD and Training Centre (Sim Lab and Lecture Room)
Preferred table set-up:*

U-ShapeClassroom styleExamTheatreWorkshopBoardroom
Date*

DayMonthYear
Date
Time*

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

YesNo
Additional notes
Example: proposed dates for recurring events, special requests, etc.
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