Name:		Date Requested:
Address Line 1:		Time Requested:
Address Line 2:		Duration:
Postcode:		Booking Type:	please select... Baby & Toddler Session Disability Play & Relax Session - under 18's Group visit Rehabilitation School visit Party with Tables Party without tables
Telephone:
Mobile:
Email:
Do you need to carry out a risk assessment prior to your visit?		Yes      No