2024-25 Grass Pitches Booking Form

2024-25 Grass Pitches Booking Form

Pitches not attached to Leisure Centres
Grass Pitch Hire Charges

Adult
With Changing Rooms - £60.00
Without Changing Rooms - £49.00

Youth
With Changing Rooms - £49.00
Without Changing Rooms - £37.50

SLA Clubs
Adult / Youth - With Changing Rooms - £40.00
Adult / Youth - Without Changing Rooms - £35.00
Club / Hirer Contact Details
Please provide contact details for 2 Club Officials / individuals
Club Name / Business Name *
If applicable
Booking Contact 1*

First NameLast Name
Email*
example@example.com
Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Booking Contact 2*

First NameLast Name
Email*
example@example.com
Mobile Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your Club affiliated to a National Governing Body of Sport (NGB)?*
Please select N/A if you are not a club.
If you answered “yes” to the above question, please provide NGB contact details:
Booking Information
Grass Pitch Required:*

Donnelly’s Holm, Omagh - Pitch 1 (including changing rooms)Donnelly’s Holm, Omagh - Pitch 2 (including changing rooms)Ecclesville, Fintona (no changing rooms)Omagh Road, Drumquin (including changing rooms)Strathroy Road, Omagh - Soccer Pitch (including changing rooms)Strathroy Road, Omagh - Gaelic Pitch (including changing rooms)Celtic Park, Enniskillen - no goal posts (including changing rooms)
Teams Using Grass Pitch Required*
Enter N/A if you are not a club
Booking Start Date *

MonthDayYear
Date
Booking End Date *

MonthDayYear
Date
Further Booking Details
Club Constitution
Please attach a copy of your Club Constitution.*

Cancelof
Public Liability Insurance
Please attach a copy of the Club's Public Liability Insurance (minimum £5m)*

Cancelof
Risk Assessment
Please confirm that an appropriate risk assessment will be carried out for the booking.*

YesNo
Safeguarding

The Council requires all clubs to abide by the Council's Child and Adult Safeguarding Policies and Codes of Practice, which can be downloaded from the Council website HERE.

It is recommended that each club has their own specific Child and Adult Safeguarding Policy in place.
I can confirm that, I (private hirer) / the club, agree to abide by the Council's Child and Adult Safeguarding Policies and Codes of Practice*

YesNo
Youth Bookings (17 & under)

Please complete this section if, you (private hirer) / the club, instruct, coach and/or manage teams or individuals aged 17 and under.
Those who instruct, coach and/or manage teams or individuals aged 17 and under must be appropriately trained and qualified, as follows:
- Appropriate coaching qualifications for the level / age group
- Access NI checked
- Safeguarding trained
- First Aid qualified
I can confirm that individuals who instruct, coach and/or manage teams or individuals aged 17 and under are appropriately trained and qualified, as outlined above:

YesNo
Credit

Monthly Invoicing
Requests for credit may be accepted on the understanding that a monthly VAT Invoice will be prepared on the basis of the original booking.

Credit Terms are strictly 30 days – if payment in full is not received within 30 days, all credit facilities will cease immediately.
Do you require Credit facilities (monthly invoicing)?*
If yes, please provide contact details for the person responsible for the payment of the account
Name

First NameLast Name
Email
example@example.com
Mobile Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Declaration
I / club agree to observe the Terms and Conditions as set out by Fermanagh and Omagh District Council.

YesNo
Data Protection

In accordance with the Data Protection Act (as amended from time to time), Fermanagh and Omagh District Council has a duty to protect any information we hold on you. The information you provide on this form will only be used for the purpose of Grass Pitch and Changing Room bookings and will not be shared with any third party unless law or regulation compels such a disclosure. For further information on how we hold your information, please visit the Privacy section on the Council website HERE
Should be Empty:

2024-25 Grass Pitches Booking Form

Club / Hirer Contact Details

Booking Information

Club Constitution

Public Liability Insurance

Risk Assessment

Youth Bookings (17 & under)

Credit

Declaration