Youth Space Booking Form
Application for Use of Premises:  One-Off Bookings form

Our facility is open for bookings between 9am to 12pm, and 6pm to late during the week.

PN Youth Space

Street Address:  1-7 Coleman Place, Palmerston North
Phone   06 351 4126 Email:
Facebook: - @pnyouthspace

Before completing this form, please read the “Booking Conditions for Use of Premises”
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Email *
Contact Details
Contact Name
Phone Number
Have you/organisation booked the Youth Space in the past? *
Organisation Details - Type of organisation:
Clear selection
What is the purpose of your organisation?
Postal Address
Are you a Registered Legal entity?
Clear selection
Do you have Public Liability Insurance?
Clear selection
IF YES - Public Liability Policy Number:
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