Thank you for completing your request. We will review and respond in due course.

Your request
Please select the centre to which your enquiry relates:
About you
Name*

First NameLast Name
Email address*
Telephone number*
Your charity, company, group or organisation details
Name of your charity, company, group or organisation*
Which of the following best describes you*

A Registered CharityCommunity Interest CompanyCommunity Group/OrganisationCompany registered with Companies House/Companies Registration Office IrelandOther
If applicable, please include your charity registration number, community interest company or company number
Your position within the charity, company, organisation or group*
If applicable, please provide link to your website
About your proposed event, project or activity
Which of the following best describes where you are looking to host your proposed event, project or activity?*

Mall space in centreWithin a vacant unit at the centreAn external space outside the centreOther
Requested date for your proposed event, project or activity

MonthDayYear
If your requested date is flexible, please tick yes

Yes
Please provide details of the start and finish time for your proposed event, project or activity?

AM/PM Option

Until
until

AM/PM Option
If your start and finish times are flexible, please tick yes

Yes
Please explain in detail the objective or purpose of your proposed event, project or activity? *
How will your event, project or activity benefit both the centre and the local community?*
Have you held a similar event, project or activity previously?. If so, please provide details below
If you have any images of previous events you've managed, please upload here

Cancelof
Please use the space below to include any further information you feel is relevant to your request
Once your form has been submitted, we will aim to respond to your request with a decision within 28 days.
Should be Empty:

Your request

About you

Your charity, company, group or organisation details

About your proposed event, project or activity