GLOSSOP
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DETAILS (delete as appropriate) |
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NAME |
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ADDRESS |
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PHONE NUMBER |
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E-MAIL ADDRESS |
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IF NECESSARY ADDITIONAL CONTACT DETAILS |
NAME ADDRESS PHONE NUMBER |
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CLUB MEMBER |
YES/NO |
MEMB. NO. |
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DATE CLUBHOUSE REQUIRED |
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TIME CLUBHOUSE REQUIRED |
FROM TO |
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NATURE OF FUNCTION – ie. wedding, birthday party
etc |
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NO(S) TO BE ATTENDING THE FUNCTION (APPROX) |
ADULTS |
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CHILDREN |
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COSTS |
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CLUB HIRE |
£150 (£25 non-refundable deposit) |
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CLUB HIRE 18TH
BIRTHDAY |
£200 (£25 non-refundable deposit) |
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CLUB SECURITY DEPOSIT |
£100 |
Returnable – see terms and
conditions. |
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Note
: For 18th Birthday parties refer to Terms and Conditions
for particular terms and conditions of hire |
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Hire charges, and conditions relating to loss/damage security
deposits, and conditions relating to cancellations and
returnable deposits
are as set out within Terms and Conditions of hire of Glossop Rugby Clubhouse
facility.
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DAMAGE
UNDERTAKING |
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I undertake to abide by
the terms and conditions set by Glossop Rugby Club and pay the costs
incurred by the club with regards to repairs/replacements required as
a result of damage for actions by any person within my party. |
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NAME
SIGNATURE DATE |
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ON BEHALF OF GLOSSOP |
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NAME
SIGNATURE DATE |