SHEDFIELD READING ROOM

BOOKING FORM

To be submitted to: the Booking Secretary, Windmill House, St John’s Lane, Shedfield. SO32 2TA

Cheques: One for hire and one for the deposit, made payable to Shedfield Reading Room. All cheques will be banked.

Private Lettings: A deposit of £150 is required. Except for children’s parties where a deposit of £100 is required.

DETAILS OF APPLICANT

Name: ...................................................

Address: ..............................................................................................................

Contact Telephone Number: ................................................................................

DETAILS OF HIRE

Date(s): ..............................................................................................................

Time (to include setting up and clearing away)

: ....From: .......................To:...............

Type of Function: (e.g. children’s party) ............................................................

Numbers: Please give estimate of numbers taking part ................................

State Pensioners: Please tick if function is for State Pensioners only

Alcohol Licence:

(Please tick option) Not Applicable Applied For

UNDERTAKING

I agree to abide by the Terms and Conditions of Hire of Shedfield Reading Room.

I also agree to ensure that should any persons under the age of 18 years be present, they will be supervised in the ratio of at least one adult to every 15 persons under the age of 18 years.

Signature .................................................. Date ................................