MIND the GaP Room Booking Enquiry

Name:
Contact Number:
Email:
Are you hiring the space as an individual or on behalf of an Organisation?

Are you hiring the space as an individual or on behalf of an Organisation? Individual Organisation
Name of Organisation:
Type of Room Required:

Type of Room Required: Flexible Learning Centre Meeting Room Consult Room Medical Assessment Room Multiple Rooms
Please list the rooms you wish to book:
Date for booking Date for booking / DD / MM YYYY
Times required (Start/Finish):
Event name/purpose for hire:
Data Collection Statement

The Information you provide will be used by UOW to start the room booking process at MIND the GaP. Information provided will be stored in our secure data base and will only be accessed by staff managing MIND the GaP room bookings.