Your Name
(required)
Organisation
Telephone number - we need this to contact you
(required)
Email Address
(required)
Address
(required)
Postcode
(required)
About you
(required)
Please select an option
Local resident
Local community group
Voluntary sector
Public sector
Private sector
Date for room hire (if you require more dates, let us know in the 'Further information' box below
(required)
Start time – please include enough time to set up
(required)
End time – please add enough time to clear up
(required)
Event name
(required)
Brief description
(required)
Approximately how many people are you expecting?
(required)
Extra requirements – let us know if you require any of the following:
Licensed bar
Kitchen
Refreshments
Flip chart
Sound equipment
Projector
Computer
TV/DVD player
Licensing: does your event involve any of the following?
Alcohol
Dancing
DJs or karaoke
Live entertainment
Recorded music
Recorded film or television
Futher information – anything else you want to let us know?
Interested in becoming a member of the Kirkgate Centre (it's free)?
No thanks
Yes please
Already a member
Interested in joining our email mailing list?
No thanks
Yes please
Publicity: we publicise some events on our website, email newsletter and via Twitter. Would you be interested in this?
(note that we publicise events at our own discretion)
No thanks
Yes please
Terms and conditions of hire
(required)
Yes, I have read and agree with your Terms and Conditions of hire of hire.
Submit