ST CUTHBERT’S COMMUNITY HALL: APPLICATION FOR PRIVATE HIRE BY AN INDIVIDUAL (MULTIPLE SESSIONS)
In order to comply with Health and Safety Legislation and Directives from our Insurance Company, the following information must be provided in order for Private Hire of St Cuthbert’s Community Hall, Colburn, to be authorised.
Date/s of Function:………………………………………………………………………………………….............................
Timings of Function: (Please note: premises must be cleared by 23.00)
………………………………………………………………………………………………………………………………………
Reason for function(s): (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)……………………………………………….............................
Name of Hirer …………………………………………………………………………………………………………………..
Address…………………………………………………………………………………………….........................................
Postcode:………………
Landline: …………………………………… Mobile:.……..………………… Email: ..........................................................
Names & contact details of two Responsible Adults (RAs) (these must be 25 years old or over)
1) ................................................................ 2)......................................................................................................
……………………………………………………….. ……………………………………………………………………….
………………………………………………………… …………………………………………………………………….…
TEL: ………………………………………………………… TEL: ……………………………………………………………….
*delete as necessary
Please note that while the PCC/Trustees of the premises make every effort to ensure the safety of all who use the premises, you will be solely responsible for the premises, personnel and its activities during the period of your booking.
*delete as necessary
I the undersigned make application for the use of the premises as set out above and agree to abide by the Conditions of Hire. On behalf of myself I accept liability for the property, personnel using the property and all activities during the period of this booking/all bookings* detailed in this contract. I agree to ensure that no live streaming of TV (either from the UK or continental Europe) or BBC iPlayer (or other TV catch-up facility) access will occur during the period of hire.
I will ensure that there is no smoking or vaping in the premises, and agree to leave the hall clean and tidy on completion of my booking.
Signature: Date:
Please return to: Marie Smalley, Hall Bookings Manager
St Cuthbert's Community Hall, Colburn Lane, Colburn, Catterick Garrison, North Yorkshire, DL9 4LT
Email: mariesmalley02@gmail.com