Application for BMX Track LONDON BOROUGH OF SOUTHWARK APPLICATION FOR BMX TRACK HIRE FOR 2013/14 To be completed and returned to: Southwark Sports Booking, Quadron Services Ltd, Chapel Mill Road, Off Villiers Road, Kingston upon Thames, Surrey, KT1 3GZ Please complete ALL fields in BLOCK CAPITALS AND SIGN where indicated. Name of club / individual _____________________________________________________ Name of club secretary (if applicable) __________________________________________ Address __________________________________________________________________ Telephone: Daytime ________________________ Evenings _____________________ Email _____________________________________________________________________ Rider Information: Rider 1 Name ______________________________ Age__________ Gender (M/F) _______ Rider 2 Name ______________________________ Age__________ Gender (M/F) _______ Rider 3 Name ______________________________ Age__________ Gender (M/F) _______ Rider 4 Name ______________________________ Age__________ Gender (M/F) _______ Rider 5 Name ______________________________ Age__________ Gender (M/F) _______ Rider 6 Name ______________________________ Age__________ Gender (M/F) _______ Rider 7 Name ______________________________ Age__________ Gender (M/F) _______ Rider 8 Name ______________________________ Age__________ Gender (M/F) _______ Rider 9 Name ______________________________ Age__________ Gender (M/F) _______ Rider 10 Name _____________________________ Age_________ Gender (M/F) _______ Rider 11 Name _____________________________ Age_________ Gender (M/F) _______ Rider 12 Name _____________________________ Age_________ Gender (M/F) _______ Rider 13 Name _____________________________ Age_________ Gender (M/F) _______ Please return your application to: Southwark Sports Booking, Quadron Services Ltd, Chapel Mill Road, Off Villiers Road, Kingston upon Thames, KT1 3GZ or [email protected] Fax: 0208 547 1802 - 1 - Application for BMX Track Rider 14 Name ______________________________ Age__________ Gender (M/F) _______ Rider 15 Name ______________________________ Age__________ Gender (M/F) _______ Rider 16 Name ______________________________ Age__________ Gender (M/F) _______ Rider 17 Name ______________________________ Age__________ Gender (M/F) _______ Rider 18 Name ______________________________ Age__________ Gender (M/F) _______ Rider 19 Name ______________________________ Age__________ Gender (M/F) _______ Rider 20 Name ______________________________ Age__________ Gender (M/F) _______ Please Note: Payment must be made before your booking. Riders will not be allowed to ride without paying. Payment only by Credit/Debit Card or by Bank Transfer. Cash and Cheque will not be accepted under any circumstances. For further information please e-mail: [email protected] Booking Request Form Please insert the time slot and date(s) that you require Date Day Slot SIGNED _______________________ DATE ___________________________ Please return your application to: Southwark Sports Booking, Quadron Services Ltd, Chapel Mill Road, Off Villiers Road, Kingston upon Thames, KT1 3GZ or [email protected] Fax: 0208 547 1802 - 2 - Application for BMX Track PRICE LIST 2013/14 Session Track Hire Fee Fee per Maximum Bike and qualified Participants Helmet coach Hire Rock up and Ride Free N/A 30 £3/pp Book and Ride (off £35/hr £25/hr 30 £3/pp peak) Book and ride ( peak £125/hr £25/hr 30 £3/pp ) Schools - up to 15 riders £95/hr Included 15 Included - 15 to 30 riders £165/hr Included 30 Included A 10% discount is applicable for Southwark schools Holiday Clubs £10/pp Included 30 Included Novice coaching £3/pp Included 15 £3/pp (towards accreditation) Strider sessions £2.50/pp Included 10 Included Club No charge for N/A As per club £3/pp first 700 hours rules per annum. £25/hr for any additional use. * Rates are exclusive of VAT ** No charges will be applied if booking cancelled by user with a minimum of 24hrs notice. No charges if cancelled by facility management *** Hire fee includes helmets and gloves where applicable All fees must be paid at the time of booking in order for the booking to be confirmed. All major debit and credit cards are acceptable. Cheques are not acceptable for payment of bookings. On behalf of……………………………………………………. I have read and understood terms and conditions and agree to abide by them. I will ensure that all members of my organisation and opposing/visiting organisations will be made aware of these terms and conditions, and abide by them also. SIGNED _______________________ DATE ___________________________ Please return your application to: Southwark Sports Booking, Quadron Services Ltd, Chapel Mill Road, Off Villiers Road, Kingston upon Thames, KT1 3GZ or [email protected] Fax: 0208 547 1802 - 3 - Application for BMX Track Burgess Park BMX Track – national track timetable 2013 (term time) Monday Tuesday Wednesday Thursday Friday Saturday Sunday 9.00am Track Book and Book and Book and Striders Peckham Book Closed Ride (off Ride (off – Ride (off BMX and Ride 10.00a (Mainte – peak) peak) – peak) (off m nance peak) works) 11.00a Book m and Ride (off 12.00 peak) 1.00pm Book Book and Book and Ride Ride and Ride 2.00pm (peak) / (peak) / (peak) / Rock up Rock up Rock up 3.00pm Rock up Rock up and Rock up and Ride and Ride and Ride and Ride 6 Ride 8 yrs and Ride – 8 yrs and over 6-8 yrs 4.00pm Novice Novice Coaching/ Coaching/ 5.00pm Inductions Inductions 6.00pm Rock up Peckham Peckham and Ride 6 BMX Club BMX 7.00pm – 8 yrs Club 8.00pm 9.00pm Track Closed Please return your application to: Southwark Sports Booking, Quadron Services Ltd, Chapel Mill Road, Off Villiers Road, Kingston upon Thames, KT1 3GZ or [email protected] Fax: 0208 547 1802 - 4 - Application for BMX Track Burgess Park BMX Track – national track timetable 2013 (school holidays) Monday Tuesday Wednesday Thursday Friday Saturday Sunday 9.00am Track Holiday Holiday Holiday Striders Peckham Book Closed Programm Programme Programm BMX and Ride 10.00a (Mainte e e (off m nance peak) works) 11.00a Book m and Ride (off 12.00 peak) 1.00pm Book Book and Book and Ride Ride and Ride 2.00pm (peak) / (peak) / (peak) / Rock up Rock up Rock up 3.00pm Rock up Rock up and Rock up and Ride and Ride and Ride and Ride Ride and Ride 4.00pm 6-8 yrs 8 yrs and over 6-8 yrs 5.00pm 6.00pm Rock up Peckham Peckham and Ride BMX Club BMX 7.00pm 8 yrs and Club over 8.00pm 9.00pm Track Closed Please return your application to: Southwark Sports Booking, Quadron Services Ltd, Chapel Mill Road, Off Villiers Road, Kingston upon Thames, KT1 3GZ or [email protected] Fax: 0208 547 1802 - 5 - .