Booking Form - Ashbourne Group of Churches

Under new regulations we need your consent to use this information to contact you about anything to do with this booking

Please tick to continue.

I agree that Ashbourne Group of Churches may store the information I have summited to make this booking in digital format for a period of up to one year after the date of the hall booking. *

Yes

No

Name of organisation or individual *

Contact Telephone Number *

Contact email address *

Postal address *

I wish to book *

the main hall including kitchen

the meeting room

Nature of event *

Booking Type *

Single Use

Regular / Multiple Use

Date of Event (For Single Use Booking)

Dates of Event (For Regular Use Bookings)

Start time *

Finish time *

I confirm that the start and finish times include adequate time to set up before and clear way afterwards. *

Yes

Full name of responsible adult making Booking *

Charge for Booking *

Booking the Main Hall: £20 per hour or part thereof (Single Use)

Booking the Main Hall: £12 per hour or part thereof (Regular Use)

I wish to use the kitchen to prepare meals using the cookers : £20.00 surcharge *

Yes

No

I wish to use a Bouncy Castle during the hire : £10 surcharge *

Yes

No

I hereby confirm that I have read, understand and accept the terms and requirements as published. I confirm that I am the person responsible for the premises and its contents during the times stated above. I am 18 years or older.

Yes

Signed *

Please print name *

Dated *

I will be paying by

Cheque payable to PCC of Ashbourne

Internet Banking

Other (please specify)

I need an invoice prior to payment. For Regular use hirers, invoices will be sent to the hirer at the end of each calendar month. For Single use, payment must be made prior to the hire date.

Yes

No

I need a receipt upon making payment *

Yes

No

Alcohol to be served *

Yes

No

Alcohol Licence applied for

Yes

No

Bring your own alcohol

Yes

No

Booking ID: Please type the date and month of the booking in format DDMM followed by your surname. This must be used when making payment by internet banking or be written on the reverse of your cheque (see booking information page) *

CHURCH HALL BOOKING FORM - complete online.