Name  

Organisation  

Telephone  

E-Mail  

Please give a brief description of what the facilities are required for

Facility Required  
SportshallFitness SuiteGymAstroturf

Day Required 
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

Start Time    Finish Time  

NOTE: If you have require more than 1 day please fill in the boxes below instead

Start Time    Finish Time    Day Required  
Start Time    Finish Time    Day Required  

Please indicate your requirements for showers and changing facilities

   Male  - Yes - No       Female  - Yes - No

Insurance
Please indicate below if you wish the school to obtain third party insurance cover. Please note that that this is not necessary if you already have £2 Million cover. Proof of insurance must be produced as evidence

Please Arrange Insurance Cover  
Please Do Not Arrange Insurance Cover  

Approximate number of persons expected to attend  

Will a charge be made for this session  - Yes - No