Application to Hire
NWKLEUS is managed by Kilmarnock North West Community Partnership.
A charity registered in Scotland (SCIO No. SCO47551)

Please make sure that you have read the terms and conditions of hire before submitting this form.

FOR YOUR ATTENTION:
* A 50% deposit is required for one-off bookings.
* The balance is payable in full by the Due Date stated on your invoice.
* You are responsible for ensuring the information submitted on this form is correct.
* Bookings are provisional until confirmed by KNWCP.
* It is your responsibility to ensure the centre meets your needs prior to booking. This includes ensuring the relevant licences, certifications and qualifications are obtained prior to your event, if applicable.
* You will be required to set up and clear away the room, ensuring the room is clean, vacant and all equipment has been removed from the premises by the times given on this form. This is normal practice for volunteer-run centres.
* KNWCP assumes no responsibility for any third-party equipment or property.
* Any unauthorised use of the premises or remaining equipment, including any damage, may encounter additional fees.
Email address *
Your name: *
Your answer
Name of club, group or organisation: *
Your answer
Contact telephone number: *
Your answer
Billing name and address: *
Your answer
YOUR EVENT DETAILS
Please tell us as much information about your event as possible. Our fees are:
- £7 per hour, per room for weekdays
- £15 per hour, per room from 5 pm Friday afternoons until 8 am Monday mornings
- £10 fee for use of kitchen facilities
Type of Hire: *
One-off
Weekly
Fortnightly
Monthly
Frequency
What date does your hire start? *
MM
/
DD
/
YYYY
Time
:
When will it finish? *
MM
/
DD
/
YYYY
Time
:
Will you need additional time for setting up or clearing away? Please detail:
Your answer
What is the purpose of this event? *
Please give full details of what your event is for and the types of activities taking place.
Your answer
Accommodation required:
Require 1
More than 1
Rooms
Halls
Kitchens
If you require additional facilities, such as additional rooms, tables, chairs, etc, please detail:
We can provide tables and chairs but you will be responsible for setting these up and clearing these away. The rooms must be returned as presented to you.
Your answer
YOUR ATTENDEES
If your group consists of children, or young people under 18, your group MUST have a Children’s Protection Policy. All leaders, helpers and employees who have regular unsupervised access to children must be checked with Disclosure Scotland.
How many children will be attending? *
Your answer
How many 16-18 year olds will be attending? *
Your answer
How many adults will be attending? *
Your answer
How many vulnerable adults will be attending? *
Your answer
HEALTH & SAFETY
Sports Instructors must have relevant and valid Governing Body qualifications/affiliations and adhere to any specified ratios for the activity. (To be shown to the Centre Manager or Lettings Secretary)
Name of designated Fire Warden: *
Your answer
Further information *
Yes
No
Do you have any special requirements relating to the needs of any members of your group with a disability?
Do you intend to bring in any electrical equipment? E.g disco equipment, spotlights, etc. All electrical equipment must have a valid PAT test certification.
Will alcohol be sold or consumed at this let? If yes, an alcohol licence may be required, please contact the clerk of the Licencing Board for further advice.
If you answered yes to any of the above questions, please give details:
If an alcohol licence is required, please contact the Licensing Board to arrange a licence prior to your event.
Your answer
DECLARATIONS
You must ensure that you have read and agreed to the Terms and Conditions of Hire prior to submitting this form. These are available to read by clicking on the link at the top left of this page. If you have any questions, please contact us.

YOUR BOOKING REMAINS PROVISIONAL UNTIL CONFIRMED BY KNWCP AND PAYMENT IS RECEIVED IN FULL. PLEASE ENSURE THAT YOUR CONTACT DETAILS ARE CORRECT.
By proceeding to submit this form, you are agreeing to our Terms & Conditions of Hire and the above declarations. *
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Kilmarnock North West Community Partnership.