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Buckingham Youth Centre - Application for the hire of premises
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* Indicates required question
Email
*
Your email
First name of hirer
*
Your answer
Surname of hirer
*
Your answer
Hiring organisation
Your answer
Contact address
*
Your answer
Contact telephone number
*
Your answer
First date required
*
MM
/
DD
/
YYYY
Time from
*
Time
:
AM
PM
Time to
*
Time
:
AM
PM
Other date information, such as re-occurrence details / alternative dates
Your answer
Room required
*
Hall
Lounge / Kitchen
Meeting Room
Not sure at time of booking
Required
Purpose of Hire
*
Your answer
Have you/ or are you hiring a bouncy castle or inflatable?
*
Yes
No
Other:
If Yes please can you add the size and company details here. ( The hall is approximately 60ft L x 32 ft W and is over 30ft high)
Your answer
Do you agree that the bouncy castle/ inflatable will be supervised at all times by an adult (over 18)
I agree
Clear selection
Do you agree that Public Liability Insurance covering the bouncy castle/inflatable will be provided either by the supplier or you the hirer?( Please read our conditions of hire )
I agree
Clear selection
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