1. Details of Applicant
Customer Name:
Organisation:
Registered Charity
YES
NO
Charity Number
Address:
Town: Post Code:
Contact Number: Email:
2. Requirements
Name of Premises Required:
Room/Areas Required
(e.g. Main Hall, Lounge)
Do You Require Use of Kitchen
(If applicable)
:
YES NO
Frequency:
Mon Tue Wed Thu Fri Sat Sun
Start Date End Date
Please include preparation and clean up time
Start Time
End Time
Once Only
Weekly
Fortnightly
Monthly
Other Frequency Please List Dates:
Number of People Attending:
No of Chairs (If Applicable): Number of Tables (If Applicable):
Equipment Requirements (If Applicable):
3. Booking Details
Type of Event:
Will Alcohol be sold or Consumed: YES NO Will there be a licenced Bar: YES NO
Licensee:
Music to be Played:
YES NO
Type: Live Recorded
Do you have Public Liability Insurance (see T&C):
YES NO
Please note Risk Assessment and Insurance is the responsibility of the hirer.
4. Declaration
By ticking this, I/We confirm that the information provided is accurate.
By ticking this, I/We have read, understand and agree to comply with the Terms and Conditions of Hire.
By ticking this, I/We understand that it is my/our responsibility to have adequate measures in place to ensure
attendees of the let make a speedy and safe exit of the premises in the event of an emergency.
Name: Date:
Please return booking application to:
E-mail: bookings@eastlothian.gov.uk
Post: East Lothian Council, Bookings, John Muir House, Haddington EH41 3HA
All bookings subject to approval
Accommodation Booking Form
5. Privacy Statement
Privacy Statement
East Lothian Council is committed to safeguarding your personal information. Our privacy statement reflects current
principles and standards on handling personal information.
1. For collection, use and disclosure
if you have given us your details they may be updated or amended at any time by sending an email to
bookings@eastlothian.gov.uk
specifying the alterations required
2. Purposes for collecting personal information
We use personal information for the following purposes only:
to communicate with customers
to fulfil your requests for services or information
for administration purposes
to comply with any applicable law, regulation, legal process or government request
3. Limiting the Collection of Personal Information
ELC limits its collection of personal information to only that information which is necessary for the identified
purposes
we will keep your personal data in line with our data retention policy, called a Retention Schedule
4. Disclosure, Processing and Retention
ELC will not sell or disclose your personal information to anyone else, except:
to someone you have designated to act on your behalf, for one or more of the identified purposes (listed in
Section 2, above)
when required to do so by law
More information can be found in our main Privacy Statement
6. For Office Use Only
Type of Booking Commercial Non Profit Making Voluntary Charitable Supported Let
Total Charge for Let £
Paid in Full £
Payment in Advance
YES
NO
Invoice to be Issued in Arrears
YES NO
Booking Reference:
Risk Assessment Required
YES NO
Risk Assessment in Place
YES NO
Caretaker Advised
YES NO
Booking Form Email to Service Area
YES NO
Signed off by:
Date:
Further Information:
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