JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Youth Space Booking Form
Application for Use of Premises: One-Off Bookings form
Our facility is open for bookings between 9am to 12pm, and 6pm to late during the week.
PN Youth Space
Street Address: 1-7 Coleman Place, Palmerston North
Phone 06 351 4126
Email:
youth@pncc.govt.nz
Website:
https://citylibrary.pncc.govt.nz/pnlibraries/youth-space
Facebook:
https://www.facebook.com/pnyouthspace/
- @pnyouthspace
Before completing this form, please read the “Booking Conditions for Use of Premises”
goo.gl/HBu3dx5
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Contact Details
Contact Name
Your answer
Phone Number
Your answer
Organisation
Your answer
Have you/organisation booked the Youth Space in the past?
*
Yes - Please proceed to the next page
No - Please continue to fill out the information below
Other:
Organisation Details - Type of organisation:
Not for profit organisation
Community group
Government Agency
Other:
Clear selection
What is the purpose of your organisation?
Your answer
Postal Address
Your answer
Phone
Your answer
Are you a Registered Legal entity?
Yes
No
Unsure
Clear selection
Do you have Public Liability Insurance?
Yes
No
Unsure
Clear selection
IF YES - Public Liability Policy Number:
Your answer
Next
Page 1 of 2
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms