- Barnby Dun Community Association ‘The Old School’
Booking Form
PERSON REQUESTING BOOKING
Name __________________________________________________________
Address _________________________________________________________
_________________________________________________________________
Tel: _______________________________ E: Mail _____________________
ROOMS AVAILABLE FOR HIRE
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Room
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Hourly Rate
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No.of Hours
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Total Cost
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Computer Suite (Entry via steps -2nd side door)
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£15.00
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£
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Main Hall (Entry via ramp- 1st side door )
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£10.00
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£
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Ground Floor: Rear Meeting Room (House Entrance)
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£5.00
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£
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Kitchen
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£2.50
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£
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Total Cost
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Please Note -House entrance is for Meeting Room, & Business users only
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Please note that ‘Setting up and ‘Clearing up’ is part of the booked period of time, any over runs is an extra £5.00 per half hour
Date(s) Required _________________________________________
Time: From _________________ To:________________________
Purpose of Hire ____________________________________________________
Any Other Comments _________________________________________________
I have read and accept the Terms and Conditions of Use.
Signed:________________________________ Date: _______________________
It is the responsibility of the hirer to have CRB checks in place for anyone working with children or vulnerable people.
Payment is required in advance of hire No less than 7 days before hire date.
Please make the cheque payable to Barnby Dun Community Association
and forward it to Trudy Collingwood, 40 Windam Drive, Barnby Dun Doncaster DN3 1BW
FOR OFFICIAL USE ONLY
Date Received:__________________________ Cheque / Cash:_______________
Receipt No:_____________________________
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