Pod Hire Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.The Pod at Northfields is available for suitable education-related, professional, training, therapeutic or community learning purposes. Please complete this form to request a booking. Submitting this form does not confirm your booking. The school will review the request and confirm whether the Pod is available and suitable for the proposed use.Organisation (if applicable): Contact Name: *FirstLastAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPhone *Email *EmailConfirm EmailPlease confirm the proposed hire is for education, tutoring, training, therapeutic, professional or community learning purposes. *Home tutoringHome education / learning supportTrainingTherapy / professional supportMeeting / workshopOther education-related usePlease briefly explain how your booking fits the permitted use of the Pod. *I understand the Pod is not available for parties, alcohol-related events, private celebrations, youth clubs or non-education-related activities. *YesNoDate requested *Is this a recurring or a single booking? *RecurringSingle bookingIs this the full day (8am to 5pm) or a half day Half day (morning or afternoon by agreement)? *Full dayHalf dayWill this booking include children, young people or vulnerable adults?YesNoWhere applicable, please confirm that all staff and volunteers who require a DBS check hold an appropriate enhanced DBS certificate.I confirmNot applicable to this bookingExpected number of attendees (adults) *Expected number of attendees (children and young people) *If your booking involves children or vulnerable adults, please provide the name and contact details of the person responsible for their care, supervision and safeguarding during the hire.FirstLastTheir email *Their phone number *Attach a copy of your safeguarding policy Drag & Drop Files, Choose Files to Upload Please attach a copy of your Public Liability Insurance certificate, if available now. Drag & Drop Files, Choose Files to Upload Please confirm - All staff and volunteers who require a DBS check hold an appropriate enhanced DBS certificate.I confirmPlease note: The school may request sight of enhanced DBS certificates or confirmation that staff have been appropriately vetted before the booking is approved.Please upload your completed risk assessment, if available now. Drag & Drop Files, Choose Files to Upload The school may require a suitable risk assessment before approving the booking, particularly where children, vulnerable adults, specialist equipment or practical activities are involved.Will there be a trained first aider available during the session? *YesNoEmergency contact phone number during hire *I understand the school may require a suitable risk assessment, insurance certificate and other relevant health and safety documentation before confirming the booking if not already provided. *YesNoEquipment Required *TablesChairsProjector/ScreenKitchen accessToiletsOtherPlease specify * (children tutoring, staff I understand that hire is charged at £60 for a half day or £120 for a full day, unless otherwise agreed in writing. *I understandI understand that hire is normally available during school hours only and not during evenings or weekends. *I understandI understand that payment arrangements will be confirmed by the school and may be managed through the school finance office. *I understandDeclarationI confirm that the information provided in this form is accurate.I agree to comply with the school’s conditions of hire.I will ensure that all safeguarding, health and safety, insurance and DBS requirements are met where applicable.I understand that the school reserves the right to request evidence of DBS checks, insurance, safeguarding documentation, risk assessments and relevant qualifications before confirming the booking.I understand that submitting this form does not confirm the booking.I understand that the school may refuse or cancel a booking if the proposed use is unsuitable, documentation is incomplete, or hire conditions are not met.The information submitted through this form will be used by Northfields Infants and Nursery School to assess, manage and administer your hire enquiry. Information may be shared with relevant school staff involved in approving and managing the booking. Documentation may be retained in line with school record keeping procedures.I consent to the school using the information provided to process this hire enquiry.I consentI do not consentSubmit Pod Hire Enquiry
