Block booking for sport centres

Full name *

Club/Organisation name *

Address *

Home phone number

Mobile phone number *

Email address *

Confirm Email address *

Are the hirers details the same as above? *

Yes

No

Hirer name *

Hirer address *

Hirer home phone number

Hirer mobile phone number *

Hirer email address *

Treasurer contact email address

Activity to be undertaken *

Venue required *

Derby Arena

Springwood Leisure Centre

Space required at Derby Arena *

Whole Sports Court area

1/3 Sports Court area

2/3 Sports Court area

Sports D - end section of Sports Courts

Watt Bike Studio

Dance Studio

Meeting Room

Badminton court area

Other

Number of courts required

Space required at Springwood *

Main Hall

Squash Courts

Dance Studio

Function Room

Number of courts required (max 4) *

Number of courts required (max 2) *

Number of rooms required (max 3) *

Day required *

Time required from and to *

Date required from *

Date required to *

Exclusion dates

Do you anticipate spectators?

Yes

No

Please state how many *

Do you require additional staff to help you with your booking? *

Yes

No

Payment options *

Monthly Direct Debit

Monthly invoice

Upload Direct Debit mandate *

Do you require an invoice? *

Yes

No

Do you have a current Risk Assessment? *

Yes

No

Please upload your current Risk Assessment

Do you wish to apply for VAT exemption on your booking? ( Not available at Derby Arena)

Yes

No

Are you one of the following? *

School

An association or an organisation representing affiliated clubs or constituent associations, such as a local league

A club

Please upload evidence here *

Additional information (please provide any further information you feel relevant to your booking)

I agree to the terms and conditions *

Yes

I understand that if my payments are not made on time my booking will be suspended until outstanding invoices are cleared *

Yes

Send me Derby Parks information by email

Send me Derby Active information by email

Send me Derby Active information by post

Send me Derby Active information by phone/SMS

Apply for a Block Booking

Please complete the application below and we will be in contact to discuss your requirements.

Booking Information

Day and Time