PITCH BOOKING APPLICATION/AGREEMENT FOR SEASON 2023/24

Each team requires a separate form to be completed.

Club Name:		
Senior or Junior:	Senior (18 & over) Junior (18 & under) 	
League:		
Ground:		
Pitch number	(please supply a plan if possible) 	
When do you wish to play? 	Day and time (morning/afternoon/evening)	
Which sport?		
If rugby, what are the season dates?		

Chairman		
Address		
Home Tel:		Mobile tel		
Email address:		
	
Secretary		
Address		
Home Tel:		Mobile tel		
Email address:		

Covid Agreement

PLEASE NOTE – you will need to confirm that the club and all of its associated teams will abide by all the current and future guidance/regulations around Covid-19 as issued by the Football Association, Rugby Football League, Rugby Football Union, Kirklees Council and Central Government. 
Failure to do this will lead us to assume you will not abide by this guidance and will mean you will not be able to play on any of our pitches.        

I confirm that this club and all its associated teams will abide by the Covid-19 Agreement.
PLEASE NOTE;

•	A separate application/agreement must be completed for each club team.
•	Applications are not accepted from clubs with outstanding debts.
•	This booking is for formal matches only. Training is not covered by this agreement.
•	All payments for the 2023/24 season must be made by the end of January 2024 or this agreement will be withdrawn, the booking terminated, and the league informed. 
Any issues need to be taken up with the Parks Services Manager, Tel 01484 221000 or Parks@kirklees.gov.uk
•	Subletting is not permitted under any circumstances.
There are no self-managed changing rooms unless you have a prior agreement with the Parks Services Manager, Tel 01484 221000 or Parks@kirklees.gov.uk
•	Your invoice will be posted out based on the content of your application. 
•	Playing without an agreement will invalidate the clubs insurance.
•	By signing this application you are agreeing that inconsiderate parking, leaving litter on the site, foul language and entering private property without permission to collect footballs are all unacceptable behaviours. You will encourage all those within your club to foster good relations with neighbouring residents and property owners. Repeated complaints from neighbours will not be permitted.

Contact details for payment – this is the person who handles the payments for the club and who will receive the invoices on behalf of the club

Treasurer (name)		
Address		
Postcode		
Home Tel:		Mobile:		
Email address:		
We need all of this information providing.	

Pitch fees Season 2023/24

Category 'A' : ground with changing facilities– Seasonal	Cost per season	Please tick your
requirements	
Pre-mark/preparation - Junior	£385		
Pre-mark/preparation - Adult	£750		
No pre-mark/preparation – Junior	£210		
No pre-mark/preparation - Adult	£425		
Category 'B' : ground only – Seasonal – without changing rooms		
Pre-mark/preparation - Junior	£215		
Pre-mark/preparation - Adult	£440		
No pre-mark/preparation - Junior	£115		
No pre-mark/preparation – Adult	£230		
Mini soccer (up to 4 teams)	£150		

Pitch hire with or without changing?		
Which room numbers?		
Who are the key holders? Needed in all cases if you have changing rooms

Changing rooms

Please note the below points before agreeing to hire changing facilities for both home and away teams.
•	You must sweep the changing rooms after every game.
•	You must remove all the rubbish.
•	You must not wash your boots using the showers or sink.
•	Any building damage not caused by wear and tear, but by misuse or vandalism will be repaired and recharged to all the clubs using the facilities.
•	You must not copy and share the facilities keys with anybody outside of your club. 
•	Keys are available for a £30 deposit which is refundable when the key is returned.
•	You must leave the facilities in a clean and tidy condition, or it may lead to you being stopped from using our facilities, or the facilities being closed.

Legionella controls

Due to the reduced level of activity in sporting pavilions is possible that sinks, showers, taps etc. particularly in remote locations such as outdoor taps, kitchens, cleaners’ stores etc. are not being used on a regular basis. This increases the risk of legionella due to stagnant water and the build-up of biofilms on the internal surfaces of pipes. It is therefore important that all such appliances are flushed on a weekly basis and that where buildings have hot or cold storage tanks that there is sufficient turn-over of the water. You should ensure that:

(N.B. This is a comprehensive list and not all will apply to your buildings):

•	All taps in the building are flushed. Start by running slowly at first and then increase gradually to full bore. Run cold taps until the water runs as cold as possible and hot taps until they run as hot as possible (there is no time limit on this, it will vary in different parts of the building)
•	All external taps to be flushed as above
•	All toilets to be flushed, where possible with toilet seat down. If no toilet seat then persons should leave room during and after flush. Repeat - two flushes for each toilet
•	All showers. Same applies as with taps but keep the shower head as low to the tray/ ground as possible to minimise spray
•	Dish washers/glass washers/ washing machines to be put on a cycle but, for fire precautions, should not be left running in a vacant building. If necessary, set the machine on a rinse cycle, do the other flushing tasks in the building and return to check how long is left of the cycle. If the appliance can be set to drain/ spin, it will empty. The appliance does not need to go through a full cycle
•	Do not turn off or isolate/ drain Zip boilers as this could create dead legs in the system. Run water through them until they run cold so that water in the reservoir in the machine has been turned over
•	Ensure that cold water dispensers, drinks machines, vending machines, coffee machines, taps in boiler houses, old toilets and stores are all flushed
•	On large sites where there are hot and cold storage tanks and/ or long lengths of pipework in the water distribution system the flushing should attempt to match the normal usage pattern within a building (i.e. we need to turn over as much of the tank water as possible and the larger hot water cylinders)
•	Kitchen appliances that use water including steam ovens need to be run on a weekly basis
•	Any garden hoses that are not in regular use need to be disconnected from the tap and flushing carried out form the tap itself
•	YOU MUST record the actions in the Integrated Water Services (IWS) logbook. If the book is not readily available, then record it on site and make the record available for inspection. If there is no record the HSE will view it as not been done

If the pavilion does not currently have or the logbook is full please contact corporate.landlord@kirklees.gov.uk to order.

Declaration

I have read and fully understand all the terms and conditions of this application /agreement form knowing if any member of the club failing to comply with any of the items will result the council withdrawing this agreement with the club and will affect any future applications for the hire of any facilities with Kirklees Council, Parks and Green Spaces.

I confirm I am authorised to sign this application on behalf of:

and that to the best of my knowledge all of the information provided is true and correct.

I am happy to give the personal details required for processing this form. I understand that they will be stored for the current season and 2 further seasons.

I understand that the information will be used to process this booking and may be shared by other Council Services. They will NOT, however, be shared with external organisations without your express, and separate, permission. For more information about how we store your data and how you can request your right to withdraw consent to use your personal data later please read ‘How we use your data’ at 
http://www.kirklees.gov.uk/beta/information-and-data/how-we-use-your-data.aspx

Name
(print)		Position for the club		
Sign		Date		

For all enquiries regarding this Application/Agreement please contact the Parks Services Manager on 01484 221000 or Email – parks@kirklees.gov.uk 

Please return all completed Application/Agreement forms to Barry Moody at Kirklees Council, Highways Admin, PO Box 1720, Huddersfield HD1 9EL or email to env.pops@kirklees.gov.uk