Regents Park Community College

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Application to Hire

 

Application for the hire of educational facilities

The application should be sent to the School where hiring is required. Application should normally be made at the least 14 days before hiring is required.

School at which facilities are required

 

..

Date(s) required

Either block booking

 

Date From

 

.

 

To

 

 



 

Time From

 

.

 

To

 

 

 

 

 

Total no. of sessions

 

 

..

Or individual date(s)

 

1. Date

 

 

Time From

 

 

 

 

To

 

..

 

 

2. Date

 

 

 

Time From

 

 

 

 

To

 

..

 

 

3. Date

 

 

 

Time From

 

 

 

 

To

 

..

Facilities required e.g. room or area

 

 

 

Special requirements e.g. nets, tables, chairs etc.

 

 

 

 

Name of organisation

 

 

 

Name and address of applicant (To whom correspondence may be sent)

 

..

 

..

Tel no.

.

 

Purpose of Hire

..

 

Apart from the organisers, is the proposed hire exclusively for young persons under 18 or members of a registered youth group?

 

 

 

Yes

 

 

£

 

 

No

 

 

£

Apart from the organisers, is the proposed hire exclusively for young OAP Group or Adult Disabled?

 

Yes

 

£

 

No

 

£

 

Do you have adequate Public Liability Insurance?

 

Yes

£

No

£

  1. I have read and accept the regulations relating to the Hire of Schools, and agree to abide by the general conditions and any special conditions communicated to me.

 

  1. I understand that there is a minimum charge unless there is a concurrent hirer.

 

  1. I am over 18.

 

Signed

 

..

Date

 

-------------------------------------------------------------------------------------------------------

Office use only

 

Application approved by

 

...

 

 

Date

 

 

 

Charge £

 

.

                       

 

Last Modified: 29/06/2011
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