Coolmine Sports Main Gym / Sports Hall
Application / Booking Form
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Name of Club / Group:
Address:
Intended Usage:
Nominated Contact:
Telephone Work:
Telephone Home:
Mobile:
E-mail
Insurance Policy No:
Insurance Company Broker:
1st Choice Day:
1st Choice Time:
2nd Choice Day:
2nd Choice Time:
Proposed Starting Date:
We hereby agree to be bound by the rules and general regulations of the Complex, and the conditions of use attached.
Signed Club Secretary:
Date:
