Name of Hirer

Organisation (if applicable)

Position in Organisation

Contact Address

Contact Postcode

Email Address

Phone Number

Date of Event

Frequency: Just this onceEvery WeekEvery 2 WeeksEvery MonthOther

Start Time of Event (including setting up)

Finish Time of Event (including tidying up)

Purpose/description of hiring

Maximum number of attendees

Facilities Required (tick all that apply):
Main HallKitchen - with use of utensils and/or electrical appliances (Extra £10 charge)Kitchen - for serving pre-prepared food, no use of utensils/appliances (No Extra charge)Recreation Ground (extra charge will apply)Extra Electric (E.G. bouncy castle, extra charge will apply)

Will children be included in this event: YesNo

Will this be a public or private event: PublicPrivate

Will this be a commercial event: YesNo

If held, please give details of your Public Liability Insurance:
Insurer
Liability Limit
Expiry Date

Will alcohol be available at this event: YesNo
If Yes, is how will it be available: No alcoholSoldIncluded in ticket priceProvided freeBrought by individuals for personal consumption

The use of the village hall is subject to the payment of the booking deposit and the balance of the hire fee together with refundable deposit, if appropriate (as well as the acceptance of the Ingham Village Hall Standard Conditions of Hire). The hirer must be 18 years of age or over. The Trustees of Ingham Village Hall reserve the right to add any special conditions of hire they may deem relevant and these will be notified to you in writing or by email and must be agreed before the booking is confirmed.

By typing your name in the box below the Hirer acknowledges that he/she has seen, read understood and agrees to the terms and conditions.

Signed:
Date:

I have read, understand and agree to the Terms & Conditions

Upon completion, your form will be sent to the Booking Secretary who will contact you by email or telephone, usually within 48 hours.