Name

First Name

Last Name

Organisation (if applicable)

Contact Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Type of Function

Date of function

Time of function

Start time of booking

This is the time from the beginning of set up.

End time of booking

This is the time you will be leaving the social centre after having cleared up.

Is the function open to the public?

Hall(s) Required

Please tick all as required.

Main Hall

Small Hall

Stage

Office

Car Park

Do you require the use of cutlery?

Special Requests

Will alcohol be for sale?

If alcohol is to be sold then a temporary events notice must be obtained from Dacorum Borough Council. This is your responsibility.

I have read and agree to the hirer terms and conditions

A copy can be found at the bottom of this form.

I have read and agree to the hirer terms and conditions

Please note, as per the terms and conditions all rubbish must be removed and the centre must be left clean and tidy. Failure to do so will mean your deposit will not be refunded.

Please see our privacy notice in respect of how we collect and store your data.