Online Letting Form

Application For Use Of Education Premises

East Ayrshire Leisure are responsible for the letting of educational establishments, details of which can be found in the PDF on this page. If you wish to book premises or enquire about booking premises, you can contact the letting office based at the Palace Theatre by telephoning 01563 554940. Alternatively you can complete the online form below and the office will be in touch.

   

1. Preferred Establishment

*

2. Name of Group or Organisation

*

3. Name of Lessee

*

Contact Telephone Number

*

Contact E-mail Address


4. Contact Details

Invoice to be Sent to:

Name

*

Address

*

Postcode

*

Let Confirmation to be Sent to:

Name

*

Address

*

Postcode

*

5. Regular Let

Regular Let
(Please Select)
Specify Day of week

Weekly
Fortnightly
Monthly

Time of let (please include any start
& clear up times required) e.g. 18:35
Start: Finish:

Letting Sessions: (please give details of dates required) e.g 11/09/2013
Day
Start Date of Let
Finish Date of Let

One-Off Let
Day
Date
Time
Start:
Finish:

Additional Time Required for One-Off Let
Day
Date
Time
Start:
Finish:

6. Details of Let

Purpose of Let:

*
Accommodation Required: *
 
Equipment Required:
No of Tables
No of Chairs

Please specify below the layout of room, if required.


7. Group composition (Max Number) & Child Protection Policy:
Children Under 12 *
Young People Under 18 *
Adults *
Vulnerable Adults *
If your group consists of Children or young people under 18, your Group must have a Childrens Protection Policy. All leaders, coaches, helpers and employees who have regular access and/or hold a child care position must be checked with Disclosure Scotland .

8. Qualifications

Sports Instructors must have relevant and valid Governing Body qualifications/affiliations, and adhere to any specified ratios for the activity.

Where water based activities are being undertaken, a minimum of two qualified lifeguards must be present at the poolside at all times. Lifeguard qualifications must be verified at any Community Learning & Development office prior to any let of swimming pools being approved.

9. Health & Safety - Fire Warden:

Name of Nominated Fire Warden:
*

10. Disability

 

Do you have special requirements relating to the needs of any members of your group with a disability?
Yes No

11. Portable Appliances  

Do you intend to bring in any electrical equipment?
e.g. Disco Equipment, Spotlights, etc.
If yes
Yes No

12. Are you supplying alcohol at this let?  

If yes, a liquor licence may be required. Please contact the Clerk to the Licensing Board for further advice. Yes No

13. Declaration - Groups/Organisations:

I hereby make application for the use of the specified accommodation and if granted agree to accept and abide by the conditions of let and guidance notes.

Name * Date:


14. Declaration - Declaration - Individuals who deliver services in their own right:

I hereby make application for the use of the specified accommodation and if granted agree to accept and abide by the conditions of let and guidance notes. Having made all appropriate enquiries concerning if I could register with an umbrella organisation who could obtain disclosures on me, I confirm that as a sole operator/trader I am unable to obtain an enhanced disclosure in terms of the Police Act 1997 and that I have no employees paid or otherwise, and therefore will not ask any other person to act on my behalf. I also confirm that I am not listed on the Disqualified from Working with Children List established under the protection of Children (Scotland) Act 2003 or in equivalent list kept for England, Wales or Northern Ireland.


Name * Date: