Booking Form Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Organisation (if applicable) Phone * Country (###) ### #### Email for invoicing (if different from above) Start Date MM DD YYYY Start Time Hour Minute Second AM PM End Date MM DD YYYY End Time Hour Minute Second AM PM For block booking please specify days of the week required* Type of activity/event * Room(s) required * No. of chairs and tables required (if known) Estimated numbers attending (separate Adults from Juniors) * Additional Requirements Select * I confirm that I have received a copy of and read the Terms and Conditions of Hire. I confirm I have received and read a copy of the COVID-19 Terms and Conditions of Hire. I agree to abide by the Terms & Conditions of Hire if my application to hire is granted. I confirm that I shall indemnify ACE – Action in Caerau & Ely in respect of any damage to property or personal injury caused as a result of the activities of the said Hire. I agree that this signed document will form a contract between myself and ACE – Action in Caerau & Ely on the terms set out in this document and the Terms and Conditions of Hire. N.B. You must be aged 18 or over to sign this form. Option 1 Option 2 Thank you for your interest in booking CAER Heritage Centre. We will be in contact with you shortly to discuss and confirm your booking.
