Room Hire Application Form

About You

Name of Society/organisation: *

What type of organisation are you?: *

Voluntary

Statutory

Business

Registered Charity Number (if applicable):

Name of applicant/hirer: *

Address: *

Contact telephone number: *

Email: *

The Room

Use of room:

Number of Users:

Date Required:

Order Number:

Time from:

:

am

pm

Must commence on the hour e.g. 09:00-11:00am

Time until:

:

am

pm

Public Liability Insurance

It is a requirement of our centre PLI that users holding activities such as Bouncy Castles, Trampolining, extreme sports are required to hold their own PLI. If in doubt ask the Centre Manager.

Do you have Public Liability Insurance?:

Yes

No

If yes what is your Expiry Date Number/ Policy Number?:

Room Requirements

Requirements:

i.e. tables, chairs, refreshments, format

Bringing own equipment please specify:

Room Hire Application Form

Main Hall
(Eileen Waldron Suite)

Small Hall
(Maisie Shovelton Suite)

Playroom
(Margaret Catterall Suite)

IT Suite

Kitchen Facility

Disabled Washroom

Secure Car parking is available at our site

Enclosed Playground

Room Hire Application Form

Main Hall (Eileen Waldron Suite)

Small Hall (Maisie Shovelton Suite)

Playroom (Margaret Catterall Suite)

IT Suite

Kitchen Facility

Disabled Washroom

Secure Car parking is available at our site

Enclosed Playground

Main Hall
(Eileen Waldron Suite)

Small Hall
(Maisie Shovelton Suite)

Playroom
(Margaret Catterall Suite)