Avenue Pavilion Standard Booking Form – Petersfield Town Council

Avenue Pavilion Standard Hire Form

Please note: Dates will only be reserved for 14 days. If booking form is not received, the booking will be cancelled.

Name

Date of Event

Start Time

End Time

Address

Postcode

Telephone

Invoice Address (if different)

Event Details

Tick all that apply:

Hall & Kitchen Changing Room Patio/Green Space If the event is a child's birthday, is the child under the are of 13? Will you be using live entertainers/music? Do you hold public liability insurance cover to a minimum of £2M? Do you intend to offer alcohol for sale?

Organisation (if applicable)

Name of Nominated Responsible Person

Address for Responsible Person (only if different)

Daytime Telephone

Evening Telephone

Email for Responsible Person

I confirm that I would like my returnable deposit paid into:

Name of Account Holder

Account Number

Sort Code

I confirm that I have read and agree to the booking terms and conditions laid out below.*

*Booking Terms & Conditions

• I confirm that I have read and agree to ‘The Avenue Pavilion Hiring Regulations’. https://shorturl.at/Hs45R

• I undertake to reimburse the Town Council for the cost of repairing or replacing any damage, breakage or theft occasioned by reason of my hiring the premises.

• I also undertake to leave the premises in a clean and tidy state and note that brushes, dustpans etc are available in the changing room for this purpose. I am over 18 years old.

Nominated Responsible Person

To comply with the Local Government (Miscellaneous Provisions) Act 1982, Cinemas Act 1985 and Theatres Act 1968 and the Town Council’s Hiring Regulations, you must nominate a responsible person, at least 18 years of age, to be in charge of, and present in, the premises during the period of your hire.