Youth Space Re-booking Form
PN Youth Space
Street Address: 1-7 Coleman Place, Palmerston North
Phone 06 351 4126 Email: youthspace@pncc.govt.nz
Website: https://citylibrary.pncc.govt.nz/pnlibraries/youth-space
Facebook: https://www.facebook.com/pnyouthspace/ - @pnyouthspace
Before completing this form, please read the “Booking Conditions for Use of Premises”
goo.gl/HBu3dx5
Email address *
Contact Details
Contact Name
Your answer
Phone Number
Your answer
Organisation/Group
Your answer
Have you/organisation booked the Youth Space in the past? *
Name of your event/booking?
Your answer
Purpose of the event/activity?
Your answer
This Booking is:
Number of people expected to attend your event?
Your answer
Facilities Required
If your event/booking a one off?
Booking Date/Day
Your answer
Time - Please include your set up time and clean up times in your booking.
Your answer
Booking Agreement - Terms & Conditions
I, _______________________________________________ (name)
Your answer
am the nominated representative of ___________________________(Organisation Name) and
Your answer
I hold the position of _________________________________________(Position Name)
Your answer
Booking Agreement - Terms & Conditions *
Required
Signature of Applicant (Print Name)
Your answer
Todays Date of Signature Agreement
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service