Event Space Booking Form

Name
First Last
Company Name
Address
Street Address Address Line 2 City Post Code
eMail address
Telephone Number
Mobile Number
Proposed Location for Event / Activity
Proposed Date(s) of Event / Activity:
MM slash DD slash YYYY
Proposed time(s) of Event / Activity:
Brief description of your proposed Event / Activity:
Description of any Display / Stall & Vehicles involved in the Event /Activity: (one vehicle only permitted that must be an integral part of the activity)
Approximate number of people involved in the Event / Activity:
Do you propose to use amplified sound?
- Yes
- No
Does your event include any vehicles?
- Yes
- No
Do you have public liability insurance of at least £5m?
- Yes
- No
Have you completed a risk assessment?
- Yes
- No
By submitting this form, you are agreeing to the terms and conditions for holding events / activities in Worthing Town Centre. Please include a copy of your Public Liability Insurance and Risk Assessment with your application
Please eMail form to Lindsay@worthingtowncentre.co.uk or send to Worthing Town Centre Initiative, 12 The Steyne Worthing, West Sussex BN11 3DS
Consent*
By submitting this form, you are agreeing to the terms and conditions for holding events / activities in Worthing Town Centre.
Please email a copy of your Public Liability Insurance and Risk Assessment to lindsay@worthingtowncentre.co.uk

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