Craigholme Sports Complex

97 Haggs Road, Glasgow, G41 4RD

Amanda Currie:

Community Sports Development Co-ordinator

Telephone: 0141 419 0963

APPLICATION FORM – LETTING OF CRAIGHOLME SPORTS FACILITIES

Please fill in the form below, clicking on the option boxes where these are provided.

NAME OF PERSON/ ORGANISATION:
ACTIVITY/ EVENT:
ADDRESS:
TEL. NO. (H): / (M):
EMAIL:

Facility required (please tick. Separate booking sheet required for each facility):

Viewing Gallery: Sports Hall: Dance Studio: Astro Turf Pitch:

Climbing Wall: Grass Pitch: Badminton Courts: Pavilion:

Please state any other items required (chairs, tables, flipchart, OHP etc):

Date(s) / Start Time / End Time / No of courts
1. / 1) / 2) / 3)
2. / 1) / 2) / 3)
3. / 1) / 2) / 3)
4. / 1) / 2) / 3)
5. / 1) / 2) / 3)
6. / 1) / 2) / 3)
7. / 1) / 2) / 3)
8. / 1) / 2) / 3)
9. / 1) / 2) / 3)

Signature of Secretary: Date:

Participants (Approximately): / Adult M / Adult F / Boys / Girls

Preferred Method of Payment:

Invoice: Cash: Cheque (made payable to CraigholmeSchool): Credit Card: BACS Transfer:

Protection of Vulnerable Groups (PVG) (Scotland) Act 2007:

1) Do you know about the Protection of Vulnerable Groups (PVG) (Scotland) Act 2007?

Yes: No:

2) Do you know that you have a legal duty to ensure that anyone you recruit to a “child care position” or who may be in contact with adults from a vulnerable group, whether paid or unpaid, has not been placed on the Disqualified from Working with Children List?

Yes: No:

3) Have your coaches/leaders had child protection training?

Yes: No:

4) Are you currently registered with the Central Registered Body in Scotland (CRBS), Disclosure Scotland or with a recognised Umbrella Body?

Yes: No:

5) Have people recruited by you since 11 April 2005 into a childcare position under the terms of the Act (paid or unpaid) been vetted by Disclosure Scotland?

Yes: No:

If you answer no to any of the above questions please take the appropriate action/s to address this. CraigholmeSchool cannot accept the booking until all of the above questions are answered yes.

Signature: Date:

Data Protection:

CraigholmeSchool treats any information given as confidential and shall be accessible only within CraigholmeSchool. Information held on file may be used to advise you of CraigholmeSchool activities or promotions which may be of interest to you. If you wish to receive information please tick as appropriate: Yes: No:

PLEASE READ ACCOMPANYING RULES CAREFULLY BEFORE COMPLETING THIS BOOKING FORM

Please sign acceptance of enclosed Terms and Conditions.

Signature: Name:

Date:

For Office Use Only

Date Application Received / Date Confirmed / Invoice
(Date & Req No) / Cash Payment Received (Date & Receipt No) / Rate for hire of facility / Filed
(Date and by)

Tick list:Conditions of Hire: Correct Footwear Sheet: