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Samuel Cody 3G Block Booking Form 25/26
Please complete the booking in full.
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* Indicates required question
Club Name (inc. Team Name)
*
Your answer
Name
*
Your answer
Address
*
Your answer
Post Code
*
Your answer
Contact Number
*
Your answer
Alternative Number
Your answer
Email Address
*
Your answer
Day of booking? (eg Monday)
*
Your answer
Start of booking
*
MM
/
DD
/
YYYY
End Date
*
MM
/
DD
/
YYYY
Starting time of booking
*
Time
:
AM
PM
Ending time of booking
*
Time
:
AM
PM
Facility Required (tick all as appropriate)
*
3G Pitch (1 Quarter)
3G Pitch (1 Half)
3G Pitch (Whole)
Caged 3G 5-a-side
Other:
Required
Purpose of Hire
*
Your answer
Additional Information (if required)
Your answer
What is the maximum number of people attending?
*
Your answer
I accept that I need to make a deposit that will be returned once by booking is concluded or allocated to the last invoice.
*
Yes
No
Required
I confirm that I am over 18 and that I have read and accept the terms and conditions (
https://samuelcody.hants.sch.uk/conditions-of-hire/
) relating to Hire of the School, and agree to abide by the general terms and conditions communicated to me.
*
Yes
Required
Name of person agreeing to our terms
*
Your answer
Date agreed to terms
*
MM
/
DD
/
YYYY
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