Please note, this form is to request a booking and is not confirmation of a booking. A separate email will be sent to confirm your booking if the space is available on your chosen date(s). Current Start Preview Complete Details of organiser Do they work for the City of Wolverhampton Council? - None -YesNo Name of service or organisation Name Customer name Title Title - Select -MissMsMrMrsDrOther… Enter other… First name Last name Role Contact Contact details Email Phone number Room details Which room(s) are required for this booking? Main Hall Sensory Room Activity Room When is the room required? If multiple dates are required, please ensure you include them all. Session details How many delegates do you anticipate will be attending? 0-5 6-10 11-15 16-20 21-25 26-30 30+ Who is the target audience for your booking? Parent/carers Children (0-5) Children (primary aged) Children (secondary aged) Young people (post 16) Professionals (within the Council) Professionals (outside the Council) Other… Enter other… Purpose of booking Please provide as much detail as possible around the purpose of the booking. Please indicate any additional requirements for your booking Projector and screen Extension plugs (Please note, there are limited electrical sockets in the main hall) Portable Screen (on Wheels) Access to the kitchen (Please bring your own refreshments e.g. tea, coffee, milk, squash etc) Other… Enter other… Any additional information that may be helpful to support your booking request? Before submitting this booking request, please read and agree to the Conditions of Use. 22402
