Water Play Space Wet Wheelchair Bookings - Online Form

User details

Chair user

Residential address

Mobile number

Home number

Email address

Upload a copy of one ID (driver’s licence, proof of age card or disability parking permit)

Carer details

Carer name

Organisation (if applicable)

Residential address

Mobile number

Email address

Upload a copy of one ID (driver’s licence, proof of age card or disability parking permit)

Organisations are required to provide a copy of their Public Liability Insurance (PLI) policy or certificate of currency. Council requires a minimum of $20 million PLI coverage for each and every incident.

PLI Policy or Certificate of Currency (if applicable)

Information links

Hippocampe Wet Wheelchair Specifications (PDF)

I have read and understood the Hippocampe Wet Wheelchair Specifications.

Terms and Conditions for use (PDF)

I have read and understood the Terms and Conditions for use.

Hire Indemnity Agreement (PDF)

I have read and understood the Hire Indemnity Agreement.

Booking details

Date

Start time

Finish time