Name of organisation: (required)

 
Description of proposed activity: (required)

 
Dates and times required: (required)

 

Rooms required (select those required): (required)

Room 1Room 2Room 3Room 5Back hallMain hallKitchen
 

Facilities required (select those required):

Data projectionSoundLightingTVFlipchartNone
 

Details of person responsible for the booking:

 
Name of person responsible for the booking: (required)

 
Address of person responsible for the booking: (required)

 
Telephone number of person responsible for the booking: (required)

 
Email address of person responsible for the booking: (required)

 

Details of person supervising the activity (if different from the person responsible for the booking):

 
Name of person supervising the activity:

 
Address of person supervising the activity:

 
Telephone number of person supervising the activity:

 
Email address of person responsible for the booking: (required)

 

In the case of activity involving children has your Organisation agreed to comply with the Government’s suggested Guidelines ‘Working Together to Safeguard Children 2015’? (required)

YesNoNot applicable
 

Is your organisation a charity? (required)

YesNo
 

Has your organisation used the church premises before? (required)

YesNo
 

The hire fee is payable by cash, cheque or via BACS transfer. Our bank account details are: CAF Bank Ltd, sort code 40-52-40, account number 00021455.

I confirm that the hiring conditions are accepted. (required)

YesNo
 

I confirm that I have read and accept the stipulations of the Privacy Notice overleaf. (required)

YesNo
 

I consent to having this website store my submitted information so they can respond: (required)

YesNo