Rodings Primary School

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Application to hire the school premises

This form must be completed by the person responsible for the function and the payment of all charges in respect of the hiring in accordance with the Rodings Primary Lettings Policy

Full Name *

Full Address *

Telephone Number *

Society or Organisation (if applicable)

Date of Hiring

YYYY

Purpose of hiring *

Requirements *

School Hall

Classroom

All Weather Pitch

School Field

Required

Use of kitchen (if applicable) *

Yes

Facilities (if applicable)

Sound system

Stage (portable stage) & Lighting

Chairs/Table

If hiring involves sporting or gymnastic activities, please give the name and qualifications of the person in charge.

Details of function *

Is the function a private or public event *

Private

Public

Required

Will there be...

An admission charge

Singing/Music

Dancing by performers or attendees

A theatrical performance

A cinematopgraph exhibition

Sale or consumption of alcohol

Youth Organisations

In the case of approved voluntary youth organisations a child protection policy must be supplied.

Please give the name of your organisation

Declaration *

I hereby apply for the use of the accommodation and facilities stated and confirm I will ensure payment is made in accordance with the Rodings Primary Lettings Policy

I confirm I am over 18 years of age

Required

Submit

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