ST LUKE’S COUNTY HOUSE - RESIDENTIAL BOOKING FORM
Fees: 		County Members: £6 per person, per night
Non-county Members: £8 per person, per night         
Non- members: £10 per person, per night
 		Badges £1 each
Unit: _____________________________________________________________________
Hirer in Charge : __________________________________________________________
Address: __________________________________________________________________                 
Tel: ________________________   e-mail:______________________________________
Approx. numbers:_________  children _________  adults ___________
Numbers over 30 must be notified to the booking secretary.
I would like to order ___ Badges @£1 each
Date(s) required:  arrive_____________ at _______________(approx. time)
                           depart ____________  at _______________(approx. time)
I understand that it is my responsibility to appoint personnel who will take on the roles of first aider and fire warden for the duration of this booking.

Name of Hirer………………………….. Signature of Hirer………………………………….
Data Collection statement:- Information you provide on this form enables us to manage bookings. It will be kept for 12 months, then securely destroyed. It will be accessible to anyone who has a legitimate role in the management of St Luke's County House.

Please return the completed form within three weeks of the original booking with a non-returnable deposit of £50. Cheques payable to Lincs. North Guide Association County House & a stamped addressed envelope for receipt send to Mrs  M. Nelson, 3E Butt Lane, Laceby, N.E.Lincs, DN37 7BB

All fees and badges must be paid in full one week before the event using final payment form plus a separate cheque of £25 which will be refunded if the house is left clean and secure. ________________________________________________________________
Girlguiding Lincolnshire North, St Luke’s County House Booking Confirmation
Unit:___________________________________________________________________
Dates booked:___________________________________________________________
I acknowledge the receipt of your deposit of £……………….…… and confirm your booking of the      St Luke’s County House on the above dates.
Signed____________________________________________(Booking Secretary)