Booking form for Revolutions Harnesses

Booking conrtact name(*)
Your name is required

Please enter your name as the booking contact in the above field

Booking contact phone(*)
A valid phone number is required

Please enter your mobile number in the above field. This phone number should be one that will be at the venue on the day as it will be used to verify remote locking and unlocking of the cabinet.

Please enter your email address(*)
A valid email address is required

Please enter your email address in the above field.
A copy of the booking will be sent to this address for your records.

Which club is represented in this hire?(*)
You must enter a club name, The hirer would normally be associated with a club, if 2 clubs, then use the primary club.

Please enter your hiring club in the above field.

Have you hired previously?(*)
This is a required field

Please indicate if a previous harness hire has occured in the above options.

Will all operators be acredited coaches (Intermediate or higher)(*)
This field requires an answer

For insurance reasons, please gaurantee here that all operators of the harnesses during this hire will be accredited coaches with current Skate Australia competitive membership.

If operators are not accredited as Intermediate, Advanced or Elite and hold current competitive Skate Australia Membership, then harness access will not be granted. By choosing 'No' to this option, the submit button has been removed, you may change your option to 'Yes' to finish submitting your application.

Desired Hire Date(*)
We can't authorise hire if we don't know the date :)

Please select your hire date in the calendar.

What time will hire start(*)
This is a required field

How long would you like to hire the devices(*)

This is a required field.

Please indicate in the above field the length of the desired hire period.

Training and inspection requirements(*)
This option must be agreed to.

For first time hire a representative of Revolutions will attend to assist with setup and some formal training with the harnesses.
With subsequent hires, a non-coaching representative may from time to time attend hire sessions to verify that equipment is performing properly and that hiring groups are operating within the safety operating procedures.
Access must be granted to this representative else future access to the harness systems may be disallowed.

Is all above information true/correct?(*)
This field is required

Please double check your submission for errors and click the checkbox. You may then submit the field.