Allerdale Borough Council
Pitch hire form (Senior)
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PITCH REQUESTED .....Flimby West Lane...........................……For Season: Summer 2015……....................
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CLUB NAME and sport ..............................................................................…………………....................
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SECRETARY
Name
TREASURER (to whom invoice may be sent)
.......................…………………......................
Name
...............…………………………...................
Address ..............................…………………...............
Address .......................................………………………
......................................………......................
..........................................……………….......
E-Mail Address ......................................………............
E-Mail Address ........................………………..............
Tel No (Home) ..............…………...………....................
Tel No (Home) .............………………….....................
(Work) .....................……………………...........
(Work) .......………….......................................
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LEAGUE .....................................................................................……………………………………….......................
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LEAGUE SECRETARY
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FOR WHAT PURPOSE IS THE FIELD/PITCH REQUIRED?
Name .................................……………….....
Phone No. ........................…………...
....................................................…………………………………………..................
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WHEN IS THE FIELD/PITCH REQUIRED?
IMPORTANT - Please state specific day of week and times required (please also attached fixture list if
possible)
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AGREEMENT I agree that I have read Appendix 1 – Conditions of letting (please see overleaf) and accept the
Council's conditions relating to letting of the playing field used by our club.
SIGNATURE …………………………………………………………………………… DATE
This completed form should be returned to:
Community Services,
Allerdale Borough Council,
Allerdale House,
New Bridge Road,
Workington,
CA14 3YJ
ALLERDALE BOROUGH COUNCIL
Appendix 1
PITCHES - CONDITIONS OF LETTING
1 The Pitch will be let at a fee of £100 (senior price) per season.
2 Agreement must be reached by representatives acting for each of the clubs who have permission to use any given site
as to the dates and times each club will use the pitch during the season. Confirmation of these dates then need sent to
the Sport and Leisure Officer at Allerdale Borough Council.
3 Sub-letting of the pitch is prohibited.
4 The pitch shall be used for home games in connection with league and friendly fixtures only and for training purposes.
5 The letting will be prepared for 10 months usage based on the normal sporting season (2 months resting period – No
playing/training to take place on football pitches during June and July* and on rugby league pitches during December
and January).
* Unless it is for an affiliated summer league which will be looked at on an individual request basis.
6 The club will be responsible for and must make good any damage caused to the pitch over and above fair wear and
tear.
7 The Council need to be informed of any changes of the Clubs circumstances in relation to the use of the pitch.
8 The Council may from time to time need to use the pitch for other purposes and therefore it will not be available to
the club on those dates. The Council will inform the club of these dates at least 2 weeks in advance.
9 The pitch may be deemed out of use due to health and safety reasons. If this is the case, the club will be informed
as soon as possible and must not be used until the club have received notification from the Council that it can be
used again.
INSURANCE COVER
1.
ACCIDENT/INJURY
The Club will indemnify the Council against all claims, demands, actions or proceedings of whatsoever nature in
respect of any death or injury sustained by any person (except death or personal injury caused by the negligence or
breach of statutory duty of the Council its servants, agents or employees), which shall occur whilst such person is on
any part of the premises or land of the Council hired to the Club (or used by the Club) during the time that such
premises or land of the Council is being used by the Club.
The Club must have their own insurance cover. Please enclose a copy of your Clubs insurance certificate.
2. DAMAGE TO PROPERTY
The Club will be held responsible for any damage caused to the premises or land hired to or used by the Club, other
than normal wear and tear, and will pay any reasonable charges levied by the Council in respect of such damage,
and will indemnify the Council against all claims, demands, actions or proceedings in respect of any damage to the
property of any third party, whether on or off the premises or land hired to or used by the Club, in either case, where
such damage is caused by negligence or deliberate acts on the part of the Club, its players, opponents or guests.
Any applications for use should be submitted to the address on the front of this form.
Please DO NOT forward payment with application - an invoice will be sent after confirmation
FOR OFFICE USE ONLY
a)
Date application and insurance document received
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b)
Date approval for use given
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c)
Date invoice sent
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d)
Signature
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