BOOKING REQUEST FORM      

Registered Charity No. 223585

Date of Hire ….... /….... /………    Time Required From ……… To ……...
                                                      (Time to include setting up & clearing up)           

Name of Hirer (must be over 21 years) …………………………………………………..

Address ……………………………………..……. Post Code …………

Contact Phone ………………… Email ……………………………

Organisation or nature of event ……………………………………………………………

Is this a public / private event? …………… No. of participants ………

NB: There is a £10 charge for use of the kitchen to be included in your booking fee.

Will you be using the Stage?                            Yes / No
Will you be using the Kitchen?                          Yes / No
Will you be providing Recorded Music?            Yes / No
Will you be holding Lotteries?                           Yes / No

Do you wish to sell alcohol at the event?          Yes / No

If YES, you must obtain permission from the designated Committee Member: Sue Crowley on 07929 569071, [email protected].

She will sign your booking form below if she agrees that alcohol can be sold.

Signed by Committee member …………………………………… Date …………

I have READ, FULLY UNDERSTAND AND AGREE to the Conditions of Hire, the Premises Licence and the Health & Safety Policy of the Palmer Hall.
(These are also displayed in the entrance hall of the Palmer Hall)

Signed by the Hirer ……………………………………………. Date …………….

I also understand that I will lose my deposit, as stated in the Conditions of Hire, if I do not adhere to the said conditions.

PLEASE RETURN THIS FORM TO:
Treasurer of the Palmer Hall, c/o 9 Park Close, Fairford, GL7 4LF.

PLEASE PROVIDE 2 PAYMENTS:

Contact Sue Crowley on 07929 569071, [email protected] for details of how to pay.