Avenue Pavilion Standard Booking Form – Petersfield Town Council

Avenue Pavilion Standard Hire Form

This booking form is subject to availability. You will receive confirmation once this has been checked.

Times should be logged in 15 minute increments, i.e. 10:00 – 10:15 – 10:30 – 10:45.

Title

Full Name

Date of Event

Start Time

End Time

Address

Postcode

Telephone

Treasurer/Accounts/Finance Email (if different)

Invoice Address (if different)

Event Details

Tick all that apply:

Please tick box if you wish to use the Hall & Kitchen Please tick box if you wish to use the Changing Room Please tick box if you wish to use the Patio/Green Space Please tick box if you are holding a bithday and the child is under the age of 13? Please tick box if you will you be using live entertainers/music? Please tick box if you intend to offer alcohol for sale?

Do you hold public liability insurance cover to a minimum of £2M? (please answer yes/no)

If you hold your own public liability insurance please attach a copy here.

Organisation (if applicable)

Name of Nominated Responsible Person

Address for Responsible Person (only if different)

Daytime Telephone

Evening Telephone

Email for Responsible Person

I confirm that I would like my returnable deposit paid into:

Name of Account Holder

Account Number

Sort Code

Is this a business account?

I confirm that I have read and agree to the booking terms and conditions laid out below.*

*Booking Terms & Conditions

• I confirm that I have read and agree to ‘The Avenue Pavilion Hiring Regulations‘.

• I undertake to reimburse the Town Council for the cost of repairing or replacing any damage, breakage or theft occasioned by reason of my hiring the premises.

• I also undertake to leave the premises in a clean and tidy state and note that brushes, dustpans etc are available in the changing room for this purpose. I am over 18 years old.

Nominated Responsible Person

To comply with the Local Government (Miscellaneous Provisions) Act 1982, Cinemas Act 1985 and Theatres Act 1968 and the Town Council’s Hiring Regulations, you must nominate a responsible person, at least 18 years of age, to be in charge of, and present in, the premises during the period of your hire.

If you are interested in joining our mailing list for upcoming events please follow this link.