Contact phone number of host:

Host address:

Name of the event (e.g. 21^st Birthday):

Date of the event:

Start and Finish times (Duration):

Number of attendees:

Extract requirements (e.g. use of kitchen):

Additional requests / requirements:

Do you need the facility to be opened up earlier than the start time? Yes/No

If yes what time would you like access to the facility?

Cost of Room Hire

£125.00 (Including a refundable deposit of £50.00)

Date of booking:

Deposit paid:

Balance outstanding:

I have read and agree to abide by the Booking Contract and Code of Conduct

Signed:                             

Please Print Name:                                                      Date: