Please print this page out, read it carefully, fill it in, sign it and put it in with your payment.



DECLARATION OF ACCEPTANCE OF RESPONSIBILITY BY HIRER

In accordance with the terms and conditions of use of the Jubilee Hall Licence, the Chairman of the Committee, as Licence Holder, nominates as his representative at the:

Function: _____________________________________________

Date: ________________________________________________

Hirers Name: __________________________________________

To be responsible in ensuring that all the terms and conditions of the Licence are fully understood by the nominated stewards and are strictly adhered to.

I have read and understand the terms and conditions of use and agree to abide by them.

Signed: _______________________________________________

Date: _________________________________________________

Name, title, address and telephone number of referee (s) who can vouch for the hirer.

Name and title: _________________________________________________

Address of referee: ______________________________________________

_________________________________________________

Telephone No: _________________________________________________

This agreement refers to the Hall and curtilage – use of the school playground or grounds is not available. 

The Hall Committee reserves the right to terminate / cancel the function if there is any breach of the conditions of the licence. 

The Hall Committee reserves the right to visit the function to check that the terms and conditions are being adhered to.