SINGLE BOOKING APPLICATION FORM
Newton Leys Community Centre St Helena Avenue, Newton Leys, Milton Keynes, MK3 5FJ
The Newton Leys Community Centre is owned and managed by Bletchley and Fenny Stratford Town Council. Please note that use of the Newton Leys Community Centre is subject to agreement of the hirer to strictly abide by the Terms and Conditions of Hire. £50 damage/holding deposit made payable at the point of booking £10 per hour (inclusive of use of the kitchen, tables and chairs) £8 per hour charity rate (inclusive of use of the kitchen, tables and chairs) Name of Organisation/Company/Hirer (Please note that the hirer must be aged 18 years or over):
Status: Charity/Community Interest Company/Statutory Organisations/Voluntary Group/Limited Company/Health/Private (please circle)
If applicable, please attach evidence of Charity, Community Interest Company, DBS or if you are registered under the Milton Keynes Councils Community Group Registration Scheme please attach a copy of your certificate.
If you are a Registered Charity, please note your Charity Registration Number:
Address
Postcode
Tel. Mobile
Date of Booking:
Times of function Start Time: Finish Time: Total no. of hours (inclusive of time required to set up and pack away) Please state the purpose of hire/detail of activities taking place:
Number attending (maximum capacity 60)
Number of chairs/tables required (maximum tables 25, maximum chairs 60)
Public Liability Insurance is held by the Community Centre and is included in your booking charge. Please note that this does not cover the hirer’s property and equipment.
Bletchley and Fenny Stratford Town Council, 74-76 Queensway, Bletchley, Milton Keynes, MK2 2SA 01908 649469 [email protected]
SINGLE BOOKING APPLICATION FORM
Newton Leys Community Centre St Helena Avenue, Newton Leys, Milton Keynes, MK3 5FJ
DECLARATION:
By signing this application I agree to the Terms and Conditions of Hire attached. I understand and agree that hall hire costs are to be paid 7 days prior to the initial hire date, in addition to the refundable deposit. If the Terms and Conditions of Hire are adhered to, arrangements will be made for the deposit to be collected 3 working days after the final date of hire.
The person signing this form accepts full responsibility for the duration of the hall hire.
Signed: Print Name: Date:
OFFICE USE ONLY:
Deposit amount: Date Paid: Hire Charge: Date Paid:
Deposit returned by: Date Returned: Signed: Print Name:
Bletchley and Fenny Stratford Town Council, 74-76 Queensway, Bletchley, Milton Keynes, MK2 2SA 01908 649469 [email protected]