Provisional booking details form Dated1.1 RequirementDate(s) required(for regular bookings the first date only)Day(s) of the week required(ie: Monday...)Time requiredTime required (Hours) Including preparation Is this a regular booking?From:To:Is this a regular booking?YesNoIf yes, add other dates (weekly/monthly etc)1.2 The HirerNameOrganisationName of Organisation’s Authorised Representative [if different from above]Street Address *City *Postal Code *If you do not live in OX1 4 area please see question belowContact Telephone Number *Email Address *If you do not live in the OX1 4 catchment area, please let us know why you are choosing to use our Community Centre?1.3 PremisesWhich room are you interested in? *Main hallThe Brenda Horwood RoomRoom 2Room 3The Gill Garratt roomDojoIf you need advice on the correct room to use for your booking please leave this blankStorage Storage of equipment is available only by written request to the Management Committee 1.4 PurposePurpose/description of hiring? *If birthday party, please add in the age.Will this be a public or private event?Public (risk assessment required)PrivateIf public is this a ticketed event?YesNoIs food to be provided at the event?Yes (Level 2 Food and Hygene certificate required if public event)No2. License The Association has a Premises License and other permissions authorising the following regulated entertainment and licensable activities at the times indicated. The Centre is licensed between 09.00-23.00. Please note that there are quiet days - Tuesday, Wednesday and Sunday - where no music is allowed after 7pm. Please confirm which licensable activities will take place at your event; ActivityPerformance of live music (PPL license needed for business use)Playing of recorded music (PPL license needed for business use)Performance of dance (PPL license needed for business use)Making music (PPL license needed for business use)DancingDance classes [regular or one-off booking] (insurance needed)Martial Arts [regular or one-off booking] (insurance needed)Keep fit, yoga and Pilates [regular or one-off bookings] (insurance needed)Entertainment similar to those above If insurance or licences are required, then current copies must be submitted before your booking takes place. Please upload any licenses, insurance, or PPLChoose FileNo file chosenDelete uploaded file2.1 Are you having or selling alcohol at your event?Yes (licence will be required )NoIf you answered 'yes' to the above question, you will need to seek written permission. Please contact the Administrator (enquiries@southoxford.org) for more details.If not are you are looking at selling alcohol are you asking guests to bring their own?YesNo2.2 Please indicate how many people are attending including the organisers/performers. Where two figures are shown they indicate standing and seated numbers accordingly. Meeting Room 2 (Max permitted 12)Room 3 (Max 15/20)Main Hall (Max permitted 100)The Gill Garratt room (Max permitted 35/30)The Brenda Horwood Room (Max permitted 35/30))Dojo (Max permitted on request)Do any of your group have any kind of disability that they would need assistance in case of emergency?YesNo I have read the General Rules for hire and the Conditions of hire and will abide by them. Agree to the rules of hire *YesNoSigned by the person named at 1.2 above, duly authorised, on behalf of the hirer: * N.B. this information form is not an agreement Send MessagePlease do not fill in this field.