Full Name (required)

Organisation (if applicable)

Email (required)

Phone (required)

Mobile (required)

Address (required)

Date of Hire

Booking Start Time

Booking End Time

Please ensure you book enough time to set up and
clear away afterwards. All events must terminate
by 10.30pm and the hall vacated by 11.00pm

Type of Event (e.g. Birthday Party or Meeting)

If booking for a party
16th18th21stOther

How many people do you expect

Will there be a band or disco?
YesNo

Will alcohol be provided at the event
YesNo

Total Hire Fee (as outlined above)

Bond (as outlined above)

Please note - All rubbish must be removed from the premises and disposed
of by the hirer.

The Hirer agrees with the Executive Committee to be present during the
hiring and to ensure compliance with the “Standard Conditions
of Hire” and any “Special Conditions of Hire” that may be set out in the
attached schedule, if any. If the Hirer is in any doubt as to the meaning of
the conditions, the Bookings Secretary should be consulted
immediately.

It is hereby agreed that the Standard Conditions of Hire and any Special
Conditions of Hire attached hereto shall form part of the terms of the Hall
Hiring Agreement unless specifically excluded.

By my electronic signature below, I confirm that I have read, understood
and agree to the “Standard Conditions of Hire” and any applicable “Special
Conditions of Hire” on the Hall Hire Conditions page of 12theastleighscouts.org
(link at the top of the form). I confirm that the details given above are correct
and that I am 18 years of age or above.

Electronic Signature (type full name)

Date (today's date)