Room Hire Registration

Organisation Name *

We currently hire to organisations only.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Organisation Website

So we can check details and understand more about your organisation.

Name of Responsible Person *

First

Last

Email *

Phone *

Insurer Name / Policy Number for Public Liability Insurance *

If you intend to hire rooms for use with anyone under the age of 18, please summarise your arrangements for Child Protection and background checks.

If you intend to hire rooms for use with anyone who is a Vulnerable Adult as defined by South Yorkshire Adult Protection, please summarise your arrangements for Safeguarding Vulnerable Adults.

We understand that the 'Responsible Person' named above has the authority to make bookings and has responsibility for ensuring that staff, volunteers, participants and others comply with YMCA's reasonable requirements, and in particular the following (please check to confirm).

Compliance with Health and Safety requirements from YMCA staff.
Ensuring that rooms and arrangements are appropriate to the access needs of all attendees.
Ensuring that rooms are only used for the agreed purpose.
Ensuring that no alcohol is brought into YMCA premises.
Ensuring no smoking on the YMCA premises or directly outside.
Ensuring that any electrical equipment is PAT tested and that no cooking / heating equipment is brought onto the premises.
Ensuring that participants do not cause disturbance to others using the building (and any music / noisemaking is agreed at the time of booking).
Organising appropriate PRS / PPL licences where music is played for any reason (this is not covered by the YMCA's licence).

Please summarise your arrangements for payment by invoice, including the contact email address and telephone number for your 'accounts payable' person or department.

I confirm that I am the 'Responsible Person' acting on behalf of the above organisation and confirm that the information provided is true and complete. (Insert name).