Frank Hutchings Community Hall Booking Form

Invoice No: …………..

FRANK HUTCHINGS COMMUNITY HALL BOOKING FORM

BRADLEY-MOORE SQUARE, HARTS HILL ROAD, THATCHAM, RG18 4QH

Request for a reservation on - Day & Date: ______

Time from______am / pm to ______am / pm

Please be aware that you must book from the time you require access to the hall until the time you expect to vacate, not just for the duration of your event.

For the purpose of holding:______

Name of Hirer:Mr / Mrs / Miss / Ms ______

Company (if applicable): ______

Address: ______

______Postcode: ______

Day Tel. no: ______Evening Tel. No: ______

E-mail Address: ______

FACILITIES REQUIRED (please tick):

Hall: ______Kitchen: ______TV/Video/DVD: ______

P.A. System: ______OHP/Screen: ______

Stage: ______Flipchart: ______

The following questions MUST be answered:

Sub letting facility?YES/NO

Will music be played at the event?YES/NO (If yes please specify whether live or recorded)

Do you or your organisation hold a music licence? YES/NO (If yes please provide a copy)

Do you or your organisation hold a Public Liability Insurance Policy? YES/NO (If yes a copy may be requested)

Will you be having a bouncy castle on the premises? YES/NO

Will alcohol be consumed on the premises? YES/NO

Willalcohol be sold on the premises? YES/NO

(If yes you will need to seek permission form the Town Council in order for alcohol to be sold on the premises and a Temporary Event Notice will be required)

NAME AND ADDRESS OF PERSON IN CHARGE OF FIRE PRECAUTIONS:

______

______

The Council reserves the right to terminate any function where any of the conditions of hire are contravened.

No compensation will be paid to the Hirer in such a case and the deposit may be forfeited. I/we agree and accept the conditions of hire. (Please read the conditions carefully as failure to comply withany or all of the conditions of hire may result in forfeiture of part or all of the deposit.) I confirm that I am aged 18 years or above.

Signed: ______Print name: ______

RETURNABLE DEPOSIT: Please specify to whom you would like your deposit return cheque to be

made payable: ______

For Office Use:

Hire charge: …………...... Deposit: ...... ……Total Due: ......

Payment due by:

First payment received:......

Amount:......

Receipt Number:......

Second payment received:......

Amount:......

Receipt Number:......

Returnable deposit deduction ………...... …….…..

Cheque no: …...... ……… £ ……...... ….

Reason for deposit deduction......

......

Notes: