* Mandatory Section 1 - to be completed by all Name of Club/Organisation/Applicant * Name and Address of Applicant * Postcode Telephone Numbers: Home Work Mobile Email Address * Section 2 - to be completed by all Facility * - Select -Braeview High SchoolCraigie High SchoolCraigowl Primary SchoolDISCDouglas Community CentreFintry Primary SchoolGrove AcademyHarris AcademyLynch Sports CentreMcTaggart CentreSt Paul's RC AcademySt Andrews Primary SchoolSt Johns RC High School Facility Area (eg Gymnasium, Sports Hall) * What is the nature of your application? * Single Use Booking Block Booking Event/Specialist Booking Purpose of Use/Activity * Participants * Adults Juveniles Concession Section 3 - only complete this section if you have ticked Single Use Booking in Section 2 Single Use Event/Specialist Booking Day and Date Required Time Required While Leisure and Culture Dundee will make every effort to satisfy equipment requests, supply of non-standard items may be subject to an additional charge. Public Address Bleacher Seating (DISC only) Portable Megaphone Competition Numbers Tables (please indicate) Chairs (please indicate) Spectator Facilities Changing Facilities (exclusive use) Yes No Additional Details/Information Section 4 - only complete this section if you have ticked Block Booking in Section 2 Block Booking Date(s) Day(s) Time(s) Section 5 Will admission be charged? * Yes No If Yes, how much? (£) Will the event be sponsored? * Yes No If Yes, please give details Will the event attract media attention? * Yes No If Yes, please give details of whom this will be Section 6 - to be completed if the activity is run by a tutor or coach Please provide the following details Name Telephone Number(s): Main Mobile Email Address Does the person in charge of the hire hold a valid Tutor/Leader Qualification Certificate(s)? Yes No Are you an individual/organisation working with children under 18 years of age? Yes No Does the person in charge of the hire hold a current Disclosure Declaration Form? Yes No Does the group operate an approved policy and procedure for the care and protection of young people under the age of 18 years? Yes No Are you affiliated to SportDundee? Yes No Please provide your Membership Number Are you a ClubDundee accredited club? Yes No If Yes, please indicate what level Estimated number of participants attending: Adults (18 or over) Juniors (under 18) Section 7 - to be completed by all Payment Method * Pay On Site Invoice Name and Address of Invoicing (if different from Applicant) Telephone Number(s): Home Work Mobile Email Address Section 8 - declaration by Hirer I agree to abide by the Conditions of Hire and Scale of Charges, as applicable * Submit
