Booking Enquiry Form

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Application made by* This field is required.
First Name
Last Name
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Please select any that apply* This field is required.
I am a current Nexus ICA staff member
I am a current Nexus ICA student
I am a Nexus ICA partner/alumni
I am from a resident church organisation
None of the above
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Is this booking part of your intermittent contract?* This field is required.
YESNO
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Please specify which option from your intermittent contract you require* This field is required.eg. "Option 1a"
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Ok
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Has this event been signed off by CMT or SLT?* This field is required.
Yes
No
No, it's a personal event
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Please upload your proposal hereIf you have a proposal for this event please upload here.
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Max. file size: 10.6MB
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Please have a proposal approved by CMT or SLT before filling in this form.
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
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Fiji
Finland
France
French Polynesia
Gabon
The Gambia
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Kenya
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North Korea
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Laos
Latvia
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Liberia
Libya
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Lithuania
Luxembourg
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Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
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Tuvalu
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Ukraine
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Uruguay
Uzbekistan
Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
9
Contact Name* This field is required.
First Name
Last Name
10
Phone Number* This field is required.
Area Code
Phone Number
11
Email Address* This field is required.
example@example.com
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Name of group/club/society represented* This field is required.
13
Please select the type of booking* This field is required.
Rehearsal room hire
Main Hall hire
Event/multiple room hire
14
What is the intended use for the Nexus ICA facilities? Please give as much detail as possible.* This field is required.
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Ok
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What is the maximum number of people that will be in the building?* This field is required.
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What is the age range of people who will be in the building?* This field is required.
17
What is the proposed start date and time of the event?* This field is required.Please give the specific time of your event, and our events team will adjust this to account for setup and clear down time required. Please add any additional information regarding setup/clear down at the end of this form.
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Year
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Hour
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Minutes
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What is the proposed end date and time of the event?* This field is required.
Date
Day
Month
Year
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Hour
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Minutes
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Frequency of booking* This field is required.
One off
Weekly
Fortnightly
Monthly
20
Please select which rooms you require* This field is required.More information about the rooms available, including capacity, can be found upon request.
Room 1
Room 2
Room 3
Room 4
Room 5
Room 6
Room 7
Common Room
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Room 1 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 1 - Will you require a PA system?* This field is required.
YESNO
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Room 1 - Please give detail about the desired layout of the room.* This field is required.
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Ok
Ok
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Room 1 - Please upload a diagram of the room layout, if needed
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Max. file size: 10.6MB
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Room 2 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 2 - Will you require a PA system?* This field is required.
YESNO
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Room 2 - Please give detail about the desired layout of the room.* This field is required.
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Ok
Ok
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Room 2 - Please upload a diagram of the room layout, if needed
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Select files to upload
Max. file size: 10.6MB
Cancelof
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Room 3 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 3 - Will you require a PA system?* This field is required.
YESNO
31
Room 3 - Please give detail about the desired layout of the room.* This field is required.
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Ok
Ok
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Room 3 - Please upload a diagram of the room layout, if needed
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Select files to upload
Max. file size: 10.6MB
Cancelof
33
Room 4 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 4 - Will you require a PA system?* This field is required.
YESNO
35
Room 4 - Please give detail about the desired layout of the room.* This field is required.
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Ok
Ok
36
Room 4 - Please upload a diagram of the room layout, if needed
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Select files to upload
Max. file size: 10.6MB
Cancelof
37
Room 5 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 5 - Will you require a PA system?* This field is required.
YESNO
39
Room 5 - Please give detail about the desired layout of the room.* This field is required.
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Ok
Ok
40
Room 5 - Please upload a diagram of the room layout, if needed
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
41
Room 6 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 6 - Will you require a PA system?* This field is required.
YESNO
43
Room 6 - Please give detail about the desired layout of the room.* This field is required.
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Small
Ok
Ok
44
Room 6 - Please upload a diagram of the room layout, if needed
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
45
Room 7 - What purpose will this room be used for?* This field is required.
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Ok
Ok
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Room 7 - Will you require a PA system?* This field is required.
YESNO
47
Room 7 - Please give detail about the desired layout of the room.* This field is required.
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Small
Ok
Ok
48
Room 7 - Please upload a diagram of the room layout, if needed
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
49
Common Room - What purpose will this room be used for?* This field is required.
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Ok
Ok
50
Common Room - Will you require a PA system?* This field is required.
YESNO
51
Common Room - Please give detail about the desired layout of the room.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
52
Common Room - Please upload a diagram of the room layout, if needed
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
53
How many chairs do you require?* This field is required.
54
Please give detail about your chair layout requirements.* This field is required.
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Ok
Ok
55
Please upload a diagram of your chair layout, if needed
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Select files to upload
Max. file size: 10.6MB
Cancelof
56
Do you require any audio amplification?* This field is required.
YESNO
57
Please give details of requirements.* This field is required.
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Ok
Ok
58
Please upload a technical rider, if needed.
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Select files to upload
Max. file size: 10.6MB
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59
Is use of the projector required?* This field is required.
YESNO
60
Please give any additional information regarding the projecting requirements.* This field is required.Please be aware that our connections are HDMI.
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Ok
61
Do you require use of the stage?* This field is required.
YESNO
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Is stage lighting required?* This field is required.
YESNO
63
Please give any additional information regarding lighting requirements.* This field is required.
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Ok
Ok
64
Do you require use of the kitchen?* This field is required.
YESNO
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What will the kitchen be used for?* This field is required.
Needed for service only (eg. tea, coffee, food prepared off-site)
Needed for service and preparation of food (eg. combining of ingredients, cooking, etc.)
66
Please give details about your use of the kitchen.* This field is required.
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Ok
Ok
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Do you require Nexus ICA to provide any refreshments?* This field is required.
YESNO
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Please give details about what refreshments are required.* This field is required.
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Ok
Ok
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Do you require internet access?* This field is required.
YESNO
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How many devices is this access required for?* This field is required.
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Will this be a ticketed event?* This field is required.
YESNO
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Will tickets be available on the door?* This field is required.
YESNO
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Please give more details (including price of tickets and number available)* This field is required.
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Ok
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Will alcohol be served at this event?* This field is required.Please be aware that Nexus ICA is not licensed to serve alcohol. Should you wish to serve alcohol, you will need to acquire the appropriate licensing and submit a request for approval from the Nexus ICA Board of Trustees.
YESNO
75
Will additional hospitality (eg. lunch, dinner, accommodation) be required for this event?* This field is required.Please discuss with the Head of Events prior to the date of the event.
YESNO
76
Please upload a technical rider, if required
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
77
Please add any further information that you feel is important.
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Ok
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By submitting this form, I confirm that the content of the form is correct.

Please be aware that the booking is not confirmed until I receive confirmation from a member of the Events Team at Nexus ICA.
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Signed* This field is required.
80
Date* This field is required.
Date
Day
Month
Year
Should be Empty:

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