Important: All completed application forms must be submitted for authorisation. For any queries, please Email Lettings@thesnaithschool.org.uk

BOOKING APPLICATION FORM

1. Booking details

Name of Hirer/Organisation
Named contact of hirer/organisation and contact details (email and telephone/mobile number)
Name of any Registered Bodies hirer/organisation is a member of ie Football Association
Facilities required (e.g. hall, sports hall, 3G)
Purpose / activity
Age range of participants
Estimated number of attendees
Day (s) of the week booking required
Frequency (e.g. weekly / monthly / one off)
Booking start date
Booking end date
Is the booking term time, school holiday only or all year round
Please confirm any dates not required (e.g. bank holidays or Christmas)
Booking start time (definite times must be stated as additional time will incur costs)
Booking end time

2. Health and Safety Issues

Please confirm that your club/group has the following in place at any venue used:

☐ Access to a telephone
☐ Guidelines for dealing with an accident/incident
☐ Accident/Incident report forms
☐ A completed annual risk assessment, with action plan
☐ Health and Safety Checklists (prior to sessions)

3. First Aid

Please confirm that the club/group has access to a compliant and relevant first aid kit at all times:

☐ Yes
☐ No

4. Safeguarding and Child Protection (please complete this section only is you are providing activities or sessions to children or vulnerable adults)

Please tick to confirm that you/your organisation has in place the following and that copies will be made available to us to review upon request:

☐ A safeguarding and child protection policy

☐ A staff behaviour policy

☐ A procedure detailing what they should do if they have a concern

☐ A designated Safeguarding Lead and a named individual to whom concerns can be raised (this can be the same person)

☐ Suitable pre-employment checks in place for staff working with children (see below)

☐ Someone who is first aid trained on site at all times

☐ A Complaints Procedure

☐ A Whistleblowing Policy

Please provide DBS Clearance certificate numbers of all people working and volunteering at a session involving children/vulnerable adults in the space below (continue on a separate sheet if necessary):

Name	DBS Number	Is DBS a nil return?	Have you assessed the individual as safe to work with children?

Please list below the pre-employment and update checks you have in place for staff working with children and vulnerable adults:

Please provide details including registration or membership number of any Appropriate Organisations the hirer/organisation is affiliated to i.e. Football Foundation etc.:

6. Declaration

The information provided in this application form is correct to the best of my knowledge and I understand that any incorrect information provided will result in the use of the facilities being withdrawn.

I declare that we have the correct public liability insurance and licences in place at the time of booking / event.

I agree to contact the facility should a safeguarding allegation be made whilst the club is hiring the facilities and request to speak with the Safeguarding Manager.

I have read and agree with the terms contained in the Conditions of Use and Hire document.

Signed:	Name:	Date:
Address:	Email:	Phone No:

When completed, please return this form to Lettings, The Snaith School, Pontefract Road, Snaith DN14 9LB or via email to Lettings@thesnaithschool.org.uk