APPLICATION TO HIRE THE KEITH MILSOM PAVILION

Please complete and submit.

DETAILS OF HIRER

First name

Last name

Email

Phone

Company name

Position

Name of responsible person ('hirer') to be present throughout the hire period (if different to above):

Hirer's phone number

Data Protection Notice: Contact details are kept for the purpose and duration required to manage your hire of the Keith Milsom Pavilion. Records are subsequently destroyed and are not shared with any other organisations or individuals for any other purposes whatsoever.

PERIOD OF HIRE

Date

Start time

:

End time

:

Total no. of hours hire required

Please remember to include any time needed for setting up beforehand and clearing up afterwards.

PURPOSE OF HIRE

Nature of event

Is the event

Private

Open to the general public

Public liability insurance must be held by regular hirers and commercial organisations.

Facilities required:

Is food (other than snacks/biscuits/cakes, etc.) to be provided at the event?

Yes

No

If Yes, please specify what type of food (e.g. external caterer, food heated at the premises, food prepared at the premises, etc.)

Do you require use of the oven and/or hob?

Yes

No

Do you require use of the big screen for presentations or similar?

Yes

No

LICENCE REQUIREMENTS (please see 'Information for Hirers')

Maximum number of people attending (approximately)

Will there be:

Music

Dancing

Will there be a performance of:

Live music

Recorded music

Play/theatre

Dance

Alcohol licence: Will alcohol be:

Available

Yes (please note that this requires use of the bar and payment of associated fees)

No

On sale

Yes (please note that this requires use of the bar and payment of associated fees)

No

Under the terms of our Club Premises Licence, alcohol may not be supplied on the premises other than by the Club.

Hirers and their guests may therefore not bring onto the premises for sale, supply or consumption any alcoholic beverages.

By requesting the use of the bar, you agree to pay the associated fee and understand that bar staff will be provided for the duration of your event.

We can offer two options for the bar:

Guests order and pay for their drinks by card; or
Guests order from the full (or, by separate agreement) condensed bar menu and the Hirer settles the tab in full by card or bank transfer at the end of the hire period.

I require use of the bar

Yes

No

FEES & DEPOSIT

To secure your booking, a deposit of £50 is payable when we accept your booking. This deposit is non-refundable in the event of cancellation on the part of the Hirer.

Depending on the nature of the event, a refundable damage deposit may also be requested at the discretion of Golden Hill Sports and Social Club.

You can pay the deposit and any applicable hire fees via bank transfer to:

Account name: Golden Hill Social Club Ltd

Sort code: 30-90-89

Account no.: 36975968

If you are making payment by bank transfer, please use the date of hire as the payment reference to help us identify your payment.

The balance must be paid in full no later than 7 days before the start of the hire. Thank you.

DECLARATION

I accept and understand the 'Standard Conditions of Hire'. I agree to be present throughout the hire period and to comply fully with this hiring agreement.

I agree to make full payment of all applicable hire charges before the event takes place.

Signature