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Phone: 01909 476118 | Bolsover: 01246 605075 | Email:
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Warm Spaces Submission Form
Is your Warm Space in Bassetlaw or Bolsover?
Bassetlaw
Bolsover
Name of Organisation
Contact Name
Contact Email
Contact Phone Number
Address of premises where the activity/activities are taking place.
Address
Address 2
City/Town
ZIP/Postal Code
Country
- None -
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Activity 1 details, including any cost to attendees, and if/how they need to book
Date and start time of activity 1
Date and start time of activity 1: Date
Date and start time of activity 1: Time
Finish time of activity 1
Finish time of activity 1: Date
Finish time of activity 1: Time
Frequency of activity 1
Daily
Weekly
Fortnighlty
Monthly
Activity 2 details, including any cost to attendees, and if/how they need to book
Date and Time of activity 2
Date and Time of activity 2: Date
Date and Time of activity 2: Time
Finish time of activity 2
Finish time of activity 2: Date
Finish time of activity 2: Time
Frequency of activity 2
Daily
Weekly
Fortnighlty
Monthly
Activity 3 details, including any cost to attendees, and if/how they need to book
Date and Start time of activity 3
Date and Start time of activity 3: Date
Date and Start time of activity 3: Time
Finish time of activity 3
Finish time of activity 3: Date
Finish time of activity 3: Time
Frequency of activity 3
Daily
Weekly
Fortnighlty
Monthly
Any other details regarding dates and frequencies
If you have more than 3 activities please fill out another form
Is there any additional information or criteria for attendees?
Alternative contact details if different to the above.
Accessibility of the building - please give details
Other Facilities (eg. baby changing, hearing loops etc)
Any other details not already covered
Submit
