THE HIRER

(a) Name, address, telephone number(s) and email address of person completing this form:

(b) Organisation (if applicable)

(c) Name, address, telephone number(s) and email address of the Organisation’s Authorised Representative who accepts responsibility for being in charge of and on the premises at all times during the hiring (if different from (a))

DATE(S) REQUIRED (Please check online calendar for availability first!)

Date(s) and Time(s) required (include preparation and tidying up)

PURPOSE/DESCRIPTION OF HIRING:

Short description of event(s)

Do you wish to use the kitchen? (NB there is normally an additional charge for use of the kitchen)
NoYes

Is alcohol to be provided at the event? (see section 6 of Standard Conditions of Hire in relation to the need to obtain a Temporary Event Notice)
NoYes

CONDITIONS OF HIRE

Please tick here to indicate that you have read the Standard Conditions of Hire, together with any Special Conditions in operation at the time of filling in this form, and that you take responsibility for ensuring that they are complied with throughout the period of hiring.
Accepted