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BARNBY DUN COMMUNITY ASSOCIATION
THE OLD SCHOOL - BOOKING FORM
PERSON REQUESTING BOOKING
Name ________________________________________________________
Address ________________________________________________________
________________________________________________________
Tel: _______________________________ E: Mail _____________________
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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 (Entrance 2nd side door)
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£15.00
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£
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Main Hall (Entrance 1st side door )
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£10.00
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£
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Kitchen (In conjunction with hall hire)
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£2.50
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£
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Total Cost
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The Front Entrance is NOT for Hall users
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Please note that ‘Setting up and ‘Clearing up’ is part of the booked period of time, any Over runs will be chargeable.
Rooms Required ____________________________________________________
Time: From _____________________________ to: ________________________
Purpose of Hire ____________________________________________________
Any Other Comments ________________________________________________
Signed: ________________________________ Date: _______________________
___________________________________________________________________
Please attach signed ‘Conditions of Use’ form
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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