Date of Hire:*

Name of Hirer:*

Adress of Hirer:

Organisation:

Optional

Day Telephone:*

Evening Telephone:*

Email address:*

Please indicate the category of your booking. If you are not a voluntary organisation and make a charge, then you fall into the Business Category.

Centre Usage:*

Liability Insurance:*

Does your organisation have public liability insurance.

Charity Status:*

Is your organisation a registered charity? (If so please provide number in box.)

Please refer to the Rates of Hire and Conditions of Let documents when completing the following details.

Minimum hire duration is one hour.

Gymnasium:

Glasspoole Room:

Lounge:

Kitchen:

Complete Building:

No bookings may go beyond 10pm. No dancing on Sundays.

Main Room:

Changing Rooms:

Seasonal use - End of August to first week of May (36 weeks / 1 match per week).

Line Marking:

Per Match

Start time:*

Finish time:*

Number of hours:*

In the box below enter your estimate of charges for this booking using the Rates of Hire document - entering the hourly room rate, refundable deposit, and room surcharge and the total fee. We may need to get back to you to confirm your figures.

My Booking Fee Estimate:

This is the sum I need to pay by cheque within the next seven days. The booking office will contact me to discuss my booking details.

Licensed Bar:

If using a licensed bar please state the name and address of the licensee.