Official Use	
No.           Date 	

Application Form For Use Of Leisure and Cultural Services Department
Sports Ground For Athletic Meets/Sports Activities/
Other Revenue Generating Events
(except for school activities)

1.	Name
	Position
	
2.	Organization	
	
3.	Postal Address of Organisation
	Tel. No: _____________________
Fax. No: _____________________	
4.	Venue required
	
5.	Date(s)
	
6.	Time(s)
	
7.	Do you require athletic equipment –
	Yes*/No*
	
8.	What is the purpose of use –	Athletic Meet*/ Other Events 
(please specify)
	
9.	Do you require the central grass pitch –
	Yes*/No*	
10.	If yes at 8, please specify purpose & time
	
11.  Estimated Number of Participants: 
	
12.  Will you collect fees/charges from the participants?	* Yes/ No
If yes, how much?	$                 per person
	
13.  Will any other income be derived from the activity?	* Yes/ No
If yes, (i) how much?  $                  (ii) source (please specify) :                   
	
14.  Name of responsible persons in charge during use: 
(i) Mr. /Ms.             HKID No.(First 4 digits) : ____________Tel No.             
(ii) Mr. /Ms.             HKID No.(First 4 digits) : ____________Tel No._____________                              	
*	Please delete as appropriate

If this application is successful, I, on behalf of                     (Name of the Organisation)(the Organisation), undertake to pay all charges arising from the hiring of the recreation and sports facility/facilities immediately upon the receipt of Advice of Payment issued by the Leisure and Cultural Services Department (the LCSD). I also undertake to meet the cost of repairing any damage caused to the facility/facilities, and of repairing or reinstating or replacing any equipment, apparatus, fitting or other property damaged or destroyed, stolen or removed during the use of the facility/facilities by the Organisation.  I declare that the above application is for the purpose of organising activity by the Organisation, and all information provided herewith is true and correct.	

 I have read the latest Conditions of Use of Leisure and Cultural Services Department Sports Grounds for Athletic Meets and Other Sports Activities (website: http://www.lcsd.gov.hk/condition/en/ground1.html) and I undertake to observe the Conditions.  During the hire period, I shall indemnify the LCSD against all actions, claims and demands by any person who suffers or sustains any loss, damages, injury or death arising out of or as a result of the use of the facility/facilities by me or a person authorised by me due to my negligence or the negligence of such an authorised person.

Signature of Applicant:                          

Name in Block Letters and Position of Applicant:                           

Date:                           

Official Chop of Organisation:                           

Note
The personal data provided by the Applicant will only be used for processing applications for use of recreation and sports facilities managed by the LCSD.  Please contact the staff of the relevant booking office for correction of or access to the personal data provided on this form.

If the application is submitted by post, please make sure that all mail items bear sufficient postage.  This Department will not accept any underpaid mail items and such items will be handled by the Hongkong Post. For calculation of postage, please refer to the Hongkong Post’s website (http://www.hongkongpost.hk/en/postage_calculator/index.html).