Lettings Application Form (BPS)

Please fill out the form below to apply for a booking. Make sure you click submit. Please read the notes below and email the relevant information to mnp@princehenrys.co.uk.

Please note: lettings require you have Public Liability Insurance of at least £5m and a current health and safety policy/relevant risk assessments.

Organisations working with young people will need to provide copies of their Child Protection Policy, Disclosure information and relevant coaching certificates before a letting can be accepted.

Name/Title of Group* Name of person responsible for booking* Address* Email address* Phone number* Name and email for invoices to be sent* Name of person who will be on site for the letting and mobile phone number* DBS issue date and number (if group are under 18s) Facility required* What will the facility be used for?* Number of participants* Day(s) of week required* Date required from* Date required to* Hours required (from when to when)*

Group is (select one of the following)*A (local youth group run by volunteers)B (local group run by volunteers with over 18s)C (a business, where at least one person draws a salary)

Insurance Required (small groups only)*YesNo

I would like to be invoiced (please select one):*In one amountMonthly, by usage (long term lettings only)Monthly, in equal amounts (long term lettings only)

Terms and conditions are in accordance with the Lettings Policy and the published conditions and Guidelines. Submission of this for is considered to be acceptance of our terms and conditions.

Electronic signature of the person responsible for the booking* Date form submitted*

Prince Henry’s Grammar School

collaborative learning trust

Lettings Application Form (BPS)