Kelo & Park Road Booking Form

Park Road Centre Booking Request Form

We will contact you to confirm the booking or otherwise.
Name of Organision or Group*
Main Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

TownState / Province

Postcode
Phone Number*

Area CodePhone Number
Mobile no.
E-mail*
By providing us with an email address you are giving consent to contact you with regards to this booking and the services provided at Park Road Centre.
Purpose of room hire*
Rooms required (see building layout)*

Room 1 (Room 1 & 2 can be used as one room or 2 separate rooms)Room 2Room 3 (suitable for up to 3 people)Digital Suite (limited availability)
Date required*

DayMonthYear
PLEASE NOTE OPENING TIMES OF THE CENTRE AS FOLLOWS:

Monday to Friday 9.00 - 11.45 a.m. & 12.45 - 3.00 p.m.
Start time*
Finish time*
Please provide details of recurring bookings
If this is a recurring booking are there holiday weeks when the activity will not take place? Please provide details
Maximum number attending*
Layout of room required
Please note that rooms are available on a DIY set basis. Please see t&c.
Resources required*

TablesChairsTea Making Facilities (access to our kitchen - please see t&c)Other
Any other information
Are you working with children or vulnerable adults?*

YesNo
Does your group have a Child Protection and Vulnerable Adults Policy?*

YesNo
Do you have a PVG/Disclosure?*

YesNo
Does your group have Public Liability Insurance?*

YesNo
Are you bringing electrical equipment? If yes we will need to see a current PAT certificate*

YesNo
You can upload any files here

Browse Files

Cancelof
I hereby make application to Fife Council for the hire of the room(s) referred to above.

If this application is granted, I agree to pay all charges including any additional cleaning costs incurred because of my booking, undertake to accept the conditions for the use of premises as detailed below.

I understand that charges made will be in accordance with details of times and room hire provided on the lettings form and I will confirm that the details provided above are accurate before I sign it.

I understand that Fife Council reserves the right to terminate and/or cancel individual bookings giving five working days notice, and that charges are subject to review.

I accept the responsibility of carrying out a Risk Assessment for our activity within the premises.
Enter the message as it's shown*
OFFICE USE ONLY
Is this booking request for a one-off meeting or a series of dates

One-offSeries of dates
Status
Booking processed by

First NameLast Name
Date entered into calendar

DayMonthYear
Date
Manager 1 Email address
Manager 2 Email address
CTDadmin
Charge for booking (e.g. 2 hours x £15hr x 2 sessions = £60.00)

Room 1 & 2 = £15 per hr

Room 1 = £10 per hr

Room 2 = £10 per hr

(concession given at present to V1P £10 per hr for rooms 1&2)

IT Suite = £10 per hr
Hours
Cost per hr
Sessions
Total cost
Should be Empty:

Park Road Centre Booking Request Form