Ecclesfield Booking Form - Active8

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Ecclesfield Community Sports Centre

ECCLESFIELD SCHOOL

CHAPELTOWN ROAD

SHEFFIELD

S35 9WD

BOOKING DESK OPENING TIMES

Monday, Wednesday, Thursday & Friday 9.00AM – 5.00PM Tuesday 12.00am – 5.00pm

0114 2402 308 www.active8-sheffield.com

- info.active8sheffield@interserve.com

APPLICATION FOR HIRE OF FACILITIES

Please use ballpoint pen and write in BLOCK LETTERS

1.

NAME OF CLUB/ORGANISATION -

2.

NAME OF SECRETARY/ORGANISER -

3.

PAYMENT ADDRESS -

4.

TELEPHONE private - mobile – e-mail -

5.

TYPE OF EVENT -

(e.g. Tournament, 5-a-side football, basketball etc)

6.

DATE(S) REQUIRED & TIME(S) REQUIRED

Please be precise with the dates you require so you do not get charged for non-use and to help avoid duplicate bookings

DAY

Example – Friday

DATES (From – To)

7 Sept 2014 – 29 Mar 2015

TIMES (From – To)

6:15 pm – 7:00 pm

7.

FACILITIES REQUIRED -

(e.g. Sports Hall, Astro Turf)

8.

EQUIPMENT REQUIRED -

(e.g. football goals, netball posts)

9.

ARE SPECTATORS TO BE ACCOMMODATED?

If so, how many?

YES NO

10.

IS IT PROPOSED TO CHARGE FOR ADMISSION, SELL PROGRAMMES OR MAKE A COLLECTION OF ANY KIND?

YES NO

If so please give details -

11.

NUMBER OF COMPETITORS: MALE - FEMALE - OFFICIALS -

I hereby agree to be bound by the Terms and Conditions of Hire, a copy of which will be issued with the confirmation letter

and agree that the delivery of the confirmation of booking shall be the binding acceptance of this offer.

DATE - SIGNATURE -

Please return to the Assistant FM – Community & Leisure at the address on the attached letter.

Please note that the name given, as the secretary/organiser, will be solely responsible for payment of the activity and supervision of the users.

/+active8-sheffield /active8sheffield @activ8sheffield

FOR OFFICIAL USE ONLY

DATE RECEIVED - BOOKING ACCEPTED / REFUSED ENTERED –

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