Please ensure that all details are accurate, as we will use these details to contact you.

Contact Number (required)

Lead Name of Representative (required)

Address for Correspondence (required)

Which centre would you like to book?:
—Please choose an option—Canolfan Hamdden Huw JonesDenbigh Leisure CentreLlangollen Leisure CentreNOVA PrestatynNorth Wales Bowls CentrePrestatyn Leisure CentreRhyl Leisure CentreRuthin Leisure CentreSt. Asaph Leisure Centre

Please select the facilities you are interested in by selecting your chosen centre below:
—Please choose an option—Canolfan Hamdden Huw JonesDenbigh Leisure CentreLlangollen Leisure CentreNOVA PrestatynNorth Wales Bowls CentrePrestatyn Leisure CentreRhyl Leisure CentreRuthin Leisure CentreSt. Asaph Leisure Centre

[group canolfan-hamdden-huw-jones]

[/group]

[group denbigh-leisure-centre]

[/group]

[group llangollen-leisure-centre]

[/group]

[group nova-leisure-centre]

[/group]

[group north-wales-bowls-centre]

[/group]

[group prestatyn-leisure-centre]

[/group]

[group rhyl-leisure-centre]

[/group]

[group ruthin-leisure-centre]

[/group]

[group stasaph-leisure-centre]

[/group]

What date would you like for your booking? (required)

What times would you like your booking to start and end? (required)

Numbers attending session (required)
(Please provide an approximate number of participates attending the session.)

Equipment / Special Arrangements
(Does the booking require any pre-set equipment, or any special arrangements in place prior to the session start.)

Please ensure that you have read fully the Terms and Conditions (required)
I have read the Booking Conditions and confirm that I accept these conditions on behalf of the Organisation.

Payment for Single Use bookings must be paid in advance at the time of booking. This can be done at site or over the phone. Cash payments incorporate debit and credit cards, cash and cheques.

Please fill out the form fully and accurately - should you have any issues, please don't hesitate to contact us.

Will your booking involve teaching/instructing/coaching other participants?
YesNo

If these apply to you, please provide all relevant information regarding your clubs / organisations insurance and whether or not any risk assessments are in place. If any of the above do not apply, then please answer 'N/A'.

Public Liability Insurance Provider

Policy Number (Minimum £5 Million)

Risk Assessment In Place?
YesNo

Operating Procedure and Emergency Action Plan in Place?
YesNo

DBS Certificate numbers must be provided for the booking to be processed unless all participants being coached/taught are 18 years or over, in which case please select the "Over 18's only" in the drop down menu below.

If participants are under the age of 18, please select 'Checks Required'. Please list all persons who take an active part in the coaching, teaching and instructing of your club:

Over 18's OnlyChecks Required

[group under18-checks]
How many coaches require DBS & Qualification checks?
123456

[group check-1]

[/group]

[group check-2]

[/group]

[group check-3]

[/group]

[group check-4]

[/group]

[group check-5]

[/group]

[group check-6]

[/group]
[/group]

Any other relevant information we should be made aware of in regards to your booking:
Please tell us anything that supports your request

[group confirmation]
Confirmation of DBS Checks
Please confirm below that the details in the previous sections are correct and that all persons carrying out activity for the club / organisation are suitably qualified and DBS checked. I also acknowledge that the club / organisation are responsible for ensuring checks are undertaken and up to date. Failure to comply with this could result in use being withdrawn.
[/group]
[group confirmation-no-teaching]
Confirmation of No Tutition
Please confirm below that your booking does not provide any coaching, teaching or instructing.
[/group]
[group confirmation-18]
Confirmation of 18 and Over Participants
Please confirm below that booking does not provide any coaching, teaching or instructing, and does not have any under 18s present.
[/group]

I confirm that the details given in the previous sections are correct. Failure to comply with this could result in use being withdrawn.