Facility Usage Application Form

Organisations must have submitted one of the following agreements prior to completing this usage application:

If you have any queries regarding the application or sporting facilities, please contact AlburyCity's Park and Recreation Team on 02 6023 8111.

Required fields are marked with an asterisk (*).

Application form

Please complete the table below for all planned usage. Please ensure that you provide specific detail to enable AlburyCity to assess your application.

This table is limited to 10 bookings. For additional bookings, please submit this form multiple times.

Ground usageBooking details
Team/competition name:
E.g. "U13’s" or "O&M Football League"


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Team/competition name


Type of usage:
Sporting ground:

Day/time:


Start & finish dates:
Unused dates
These dates will not be charged. E.g. public holidays.