Other Registration – Bangla Centre

Show Community Facilities Booking Form PDF

Community Facilities Booking Form

Full Name(Required)

Group Name(Required)

Address

City State / Province / Region ZIP / Postal Code Country

Email(Required)

Contact Number(Required)

Community Centre(Required)

Type of let

Accommodation Requested

Licenced Event

Yes

Frequency of Let

One off

Daily

Weekly

Fortnightly

Monthly

Date(s)/ Times requested:

Start Date

End Date

Specific dates your Let is not required: e.g. Public Holidays

Approx. Number of Attendees:

Male Femele

Participant / Attendance Fees Charged

Activity / Daily

Membership

Additional Information/ set up required

Declaration – Bouncy Castle Conditions (if applicable)

Glasgow Life has to follow guidelines issued by the Health and Safety Executive and the organisations which regulate the bouncy castle industry. A bouncy castle hire company has to provide the following paperwork when using a bouncy castle within a Glasgow Life facility. Note venue managers will inform applicants when and if Bouncy Castles are allowed within Covid-19 restrictions.

Please tick

1) The copy of the insurance certificate mustshow:

A) Employers Liability of £10,000,000
B) Public Liability of £5,000,000

2) A copy of their PAT testing certificate for the bouncy castle blower.

3) An employee from the company has tostay with the inflatable at all times during the duration of the let.

4) A copy of the company’s risk assessment/method statement.

5) The Inflatable must be PIPPA tested and we need to see the certificate & check that the tag on the castle corresponds with the certificate. This can be double checked on-line at: www.pipa.org.uk/genuine.html

Declaration -Conditions of Let (if applicable)

It is a condition of this let that you:

1. Are in possession of current public liability insurance of £5m
2. Are in possession of relevant, up to date qualifications relating to your let activity
3. Are in possession of relevant copyright licences for your activity under the Copyright, Designs and Patents Act 1988
4. Are in possession of relevant licences under The Children (Performances) Regulations 1968
5. You have the relevant PAT testing certificates in place for electrical equipment (if applicable)
6. You have carried out appropriate risk assessments inc Covid-19 Risk Assessments
7. You are registered with the Care Inspectorate for lets relating to child care activities
8. You have read and agree to abide by the full terms and conditions of let inc Covid-19 conditions

Protection of Vulnerable Groups (if applicable)

Protection of Vulnerable Groups (Scotland) Act 2007 (the PVG Scheme)

Do you provide organised and supervised activities for children less than 16 years of age and/or protected adults?
If yes, please answer the following:
Do you know about the PVG Scheme and are you fully aware of the implications for your organisation?
Do you know that anyone you recruit to do ‘regulated work’ (whether paid or unpaid) must not be barred from work with children and/or protected adults?
It is an offence to use someone in a regulated work position if they are barred. You should therefore ensure they are PVG Scheme members
Are you registered with CRBS, Disclosure Scotland or with a recognised umbrella body?
Are people recruited by you into a regulated work position (paid or unpaid) since 28 February 2011 PVG Scheme members?
Does your group have a Child Protection Policy and/or Protecting Vulnerable Adults policy which incorporates a code of conduct and procedures for responding to concerns?
Have your leaders had child protection training?
Does your organisation take all reasonable steps to make sure that children, young people, vulnerable adults and those who work and support them are kept safe during the organisation’s activities?

Declaration (continued)

I declare the fore going to be a true and accurate statement and accept responsibility for payment of all charges, including damage to property as the result of occupancy of premises. I understand that all activities must be organised in accordance with Glasgow Life’s policy and that failure to disclose any relevant information may lead to the let being cancelled or altered and additional charges may be made. Please also refer to Glasgow Communities, Conditions of Letting Form for full details.

By signing this declaration you have read, understood and agree to all relevant to the terms and conditions of let included above and separately on our Conditions of Letting form.