Provisional booking details form Dated1.1 RequirementDate(s) requiredDay(s) requiredTime requiredTime required (Hours) Including preparation Is this a regular booking?From:To:Is this a regular booking?YesNo1.2 The HirerNameOrganisationName of Organisation’s Authorised Representative [if different from above]Street AddressCityPostal CodeContact Telephone NumberEmail AddressIf 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 2The 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?PublicPrivateIf public is this a ticketed event?YesNoIs food to be provided at the event?YesNo2. 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 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 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 having alcohol available or 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)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 hireYesNoSigned 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.