Member's Community Event Request Form

Your Name*:

Your Email*:

Your Phone Number*:

Name of event*:

Proposed Date of Event (dd/mm/yyyy)*:

Proposed Time of Event (eg. 2pm - 4pm)*

Brief Description of the Event*:

Areas Required*:

Main HallBar / Lounge AreaOutdoor Greens

Facilities Required*:

Bar & Bar StaffUse of KitchenTea & Coffee OnlyNone of the above

If using the kitchen, will you be catering yourself or hiring a caterer?*:

Cooking ourselvesHiring a caterer

I understand that by submitting this form, it will be sent to the UCQ Inc. Management Committee for review. I understand that submission of this form does not automatically mean approval of my event.