Spring Grove Primary School – Premises Lettings Agreement Form Section Organisation/Individual Name: * Address: * Contact Person: * Position/Role: * Phone * Email * Organisation Type: * Charity Community Group Sports Club Private Business PTA Other (please specify)Other (please specify) Lettings Details Purpose of Hire: * Start Date Start Time 00:0000:3001:0001:3002:0002:3003:0003:3004:0004:3005:0005:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:0022:3023:0023:30 End Date End Time 00:0000:3001:0001:3002:0002:3003:0003:3004:0004:3005:0005:3006:0006:3007:0007:3008:0008:3009:0009:3010:0010:3011:0011:3012:0012:3013:0013:3014:0014:3015:0015:3016:0016:3017:0017:3018:0018:3019:0019:3020:0020:3021:0021:3022:0022:3023:0023:30 Areas/Rooms Required: * School Hall Classroom Outdoor Field/Playground MUGA Arena OtherOther Expected Number of Attendees: * Age Range of Participants (if applicable): * Will children/young people be present? * Yes No Safeguarding Requirements Please confirm the following: Our organisation has a safeguarding policy in place We have appropriate insurance cover (minimum £5 million public liability) All staff/volunteers who will have contact with children have appropriate DBS checks where required We understand local safeguarding procedures and contacts We will follow Spring Grove Primary School’s safeguarding expectations Safeguarding Lead Name: * Safeguarding Lead Phone No: * Safeguarding Lead Email: * Declaration I confirm that: I have read and agree to comply with Spring Grove Primary School’s Lettings Policy I will provide copies of our safeguarding policies and procedures upon request I confirm that appropriate DBS checks have been carried out on all staff/volunteers who may come into contact with pupils I will ensure appropriate supervision ratios are maintained throughout the hire period I understand that any safeguarding allegations will be reported to the school and the Local Authority Designated Officer (LADO) I accept full responsibility for any damage to the premises or equipment I will ensure the premises are left clean and secure I will comply with health and safety requirements and fire procedures Please upload any relevant documents relating to this letting Drop a file here or click to upload Choose File Maximum file size: 33.55MB Name * Date * Signature * signature keyboard Clear Submit If you are human, leave this field blank. Δ