Use of Church Property by External Groups
PARISH OF MAGHERA
Full Name of Hirer
First Name
Last Name
Name and Address of Group / Organisation Hiring Property
Name of Group
Street Address
Town
County
Post Code
Name and Address of Group Leader (or Hirer if the same)
Name
Street Address
Town
County
Post Code
Contact Details for Group Leader (or Hirer if the same)
Will your Group be working directly with Children / Young People? (as defined in Section B)
Yes
No
Will your Group be working directly with "Adults at Risk of Harm" or "In Need of Protection"? (as defined in Section B)
Yes
No
Click Yes to see details contained in Section B?
Yes
No
Section B Safeguarding
If you answered 'Yes' to EITHER of the questions above, Please provide details of the Person Responsible for Safeguarding in the Group
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Details of Premises and Room(s) Required
Premises Required
Parish Centre Newcastle ( £15 Per Hour )
St. Patrick's Hall Bryansford ( £20 per Hour )
Persons or Groups wishing to hire room(s) the Parish Centre or St. Patrick's Hall should be aware of the following
The Parish Centre and St. Patrick's Hall are available for...
The Parish Centre and St. Patrick's Hall are Not available for...
Purpose of Hire
Your Preferred Room, Date and Time of Event
Any Additional Requirements
Please Note: The Parish of Maghera does not provide catering services for External Groups and External Groups are not permitted to bring in outside catering contractors.
Estimated Number of People Attending Event
Signature of Hirer
Signature of Group Leader (if different from Hirer)
Date of Signature
Does Your Activity involve working with any of the Vulnerable Groups as defined in Section B
Yes
No
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Section A General Terms of Use
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Section B Safeguarding
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Section C Insurance
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Section D Declaration
I the Group Leader declare that:
I have read and agree to abide by the conditions and 'Regulations as to Use' set out in this Licence Agreement. The answers given above, and in particular in Section B (Safeguarding) to the best of my knowledge, are true and complete and are in place.
Agreed
I understand and accept the commitment ·of the Diocese of Down and Connor to ensure the safety and protection of Children/Young People, Adults at Risk of Harm and Adults in Need of Protection while using their facilities.
Agreed
I will ensure that I and all associated with the provision of the activity will work to the Standards of Good Practice outlined in our organisation's Safeguarding Policy for Children/Young People and/or Adults at Risk of Harm and/or Adults in Need of Protection. Our policy will not be in contravention of the Down and Connor Safeguarding Policies or any Parish Codes of Conduct.
Agreed
I understand that this agreement is conditional upon me keeping to the Down and Connor Diocesan Safeguarding Policies and Procedures, any Parish Codes of Conduct and the Regulations as to Use.
Agreed
I understand that the agreement can be terminated if we fail to comply with them.
Agreed
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Signature and Details of Group Leader
Details of Group Leader
Signature of Group Leader
Date of Signature
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