Contact Form

Please enable JavaScript in your browser to complete this form.

Name *

First

Last

Address *

Post Code *

Group Name *

Telephone Number *

Email *

Facebook Link

Instagram Link

Website Link

Preferred Day *

Preferred Start Time *

24 hour clock

Length of Session

Selected Value: 1

How long will your sessions be? In hours

How often will you use the Larkhill Centre? *

Other

If you have selected more than 1 day a week or other please provide further details.

Duration of Hire? *

How long do you intend to use the centre for

Will you use the Kitchen facilities? *

Is your group a business? *

Is your group a registered charity? *

Charity number

Will you use the Larkhill center for normal social, educational and recreational purposes? *

Group Members

Are any members of your group, associates or customers.

Do you require / have a Safeguarding policy? *

Group information *

Please describe your group and the activities you would pursue at the Larkhill Centre

The Larkhill Centre, Thorley Lane, Timperley, Altrincham, WA15 7AZ