Hall Hire: Private Individual - Application For A Single Session

St Cuthbert’s Community Hall, Hipswell Parish - Application for Premises Hire, Private Individual             (Single Session)

Name of Hirer ………………………………………………………………………………………......................................

Address…………………………………………………………………………………………….......................................... 

Postcode:……………..............................…

Telephone: …………………………………..........................… Mobile:.……..………………........................….........

Email: ...............................................................................................................................................................

Reason for Hire……………………………………………………………………………………………..............................

Date and timing of Function (Please note: premises must be cleared by 23.00)……………………………………...

..........................................................................................................................................................................

Reason for function: (eg: 5th Birthday Party, 25th Wedding Anniversary)

……………………………………………………………………………………………………………………………………………………

Rooms required: (Please delete as appropriate)

Main Hall:  Yes/No                 Committee Room:  Yes/No                Kitchen:  Yes/No

Type of Music System:  (In order to comply with PRS)………………………………………………........................

Names & contact details of two Responsible Adults (RAs) (these must be 25 years old or over)

1)  ................................................................            2)..................................................................................

………………………………………………………..           ……………………………………………………………………….

…………………………………………………………         ………………………………………………………………………

TEL:  …………………………………………………………  TEL: ……………………………………………………………….

CONDITIONS OF HIRE:

Please note that while the PCC/Trustees of the premises make every effort to ensure the safety of all who use the premises, you or your organisation will be solely responsible for premises, personnel and its activities during the period of your booking. Any damage to the property, contents, fittings or external areas occurring during your period of hire will be assessed by the PCC and you or your organisation will be required to pay for any repair or replacement accordingly. Please also note that there is no TV LIcence for the premises. Hirers are therefore required to ensure that no live TV is streamed on the premises, either from the UK or from continental Europe, or BBC iPlayer (or other TV catch-up facility) is accessed.

I make application for the use of the premises as set out above. I have read and agree to abide by the Conditions of Hire. I accept full liability for the property, for personnel using the property and for all activities during the period of this booking.

I agree to ensure that there is no smoking or vaping in the facility, and I agree to leave the hall clean and tidy on completion of my booking.

 

Signed…………………………………………………………  Print .........................................................................

 

Date  ……………………………………………………………………………………………………………………………………………


St Cuthbert's Community Hall Booking
Webpage icon Hirer's Check List & Fire Plan
Webpage icon Hall Equipment Hire
Webpage icon Application For Organisation Sessions
Webpage icon Hall Hire: Private Individual Application for Multiple Sessions
Webpage icon Criteria and Information for Private Hire
Printer Printable Version