BOOKING FORM – LLANWARNE VILLAGE HALL HIRERS DETAILS Name of hirer: (person responsible for payment)……………………………………………………………………Name of group: ……………………………………………………………………………………Their address: ……………………………………………………………………………………………………………………………………………. ………………………………………………………………………………………………………………………………………………………………………… Postcode …………………………………………………………………………..

Tel …………………………………………………………………

Lead person of group (during hire period)………………………………………………………………………… BOOKING DETAILS – Part of the hall to be hired (Please circle all that apply) Hall Stage Kitchen PURPOSE OF USE ……………………………………………………………………………………… Day(s) and date(s) required: …………………………………………………………………………………. Time: FROM: …………………………….. TO:………………………………………………….

HIRED SPACE WILL BE AVAILABLE 15 MINUTES BEFORE TIME REQUIRED FOR LOADING/UNLOADING –ENSURE YOU INCLUDE YOUR SETTING UP TIME IN THE BOOKING TIMES

REQUIRED KITCHEN USERS – (BRING YOUR OWN TEA TOWELS PLEASE)

PUBLIC LIABILITY INSURANCE (If activity involves instruction a copy of the instructors training certificates and insurance MUST be sent with the form Insurer:…………………………………………………………………………………………………………………………………………….. Policy Number: ……………………………………………………………………………………………………………………………….Date: ………………………………………………………………………………………LLANWARNE VILLAGE HALL (USE ONLY)

Hours charge: ……£10.00………………….per hour: …………………………..Total Charges: ………………………. DECLARATION (To be signed by all hirers)

I agree to pay the hiring charges and to abide by the terms and conditions related the premises, a copy of which has been read and understood by me.

Applicants signature ……………………………………………………………………..

Date……………………………