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Champion Clubs EOI Form

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Champion Clubs Expression of Interest Application Form

All fields are required except where indicated

1. Applicant contact details

Note: street number and street name are needed for all addresses
 

2. Details of applicant

Is the applicant a not for profit group or a registered business?:
Is the applicant aware that they will be required to pay monthly facility hire fees?:
Will you need to store equipment at the Centre in order to deliver your service or program?:
Have you previously hired a room from a Local Government Authority (LGA)?:
Are there any barriers preventing your program or service hiring a room at the Centre?:
To support your application, you are encouraged to provide the following documentation (where applicable and available):
  • Strategic or business plan
  • Copy of your constitution
  • Any additional information that supports your application
 

3. Booking details

 

4. Additional comments

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Address

City of Cockburn
Whadjuk Boodjar
9 Coleville Crescent,
Spearwood 6163

PO Box 1215, Bibra Lake DC,
Western Australia, 6965

Office opening hours:
8.30am to 4.30pm
Monday to Friday (excluding public holidays)

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Cockburn Nyungar moort Beeliar boodja-k kaadadjiny. Koora, yeyi, benang baalap nidja boodja-k kaaradjiny.
Ngalak kaditj boodjar kep wer kaadidjiny kalyakool yoodaniny, wer koora wer yeyi ngalak Birdiya koota-djinanginy.

The City of Cockburn acknowledges the Nyungar people of Beeliar Boodjar. Long ago, now and in the future they care for Country.
We acknowledge a continuing connection to Land, Waters and Culture and pay our respects to Elders, past and present.