Room hire request

Please read the room hire agreement here before completing the form below. Once completed a copy will be sent to your email.

Room hire agreement

Please provide details of your room booking requirements below.

About you

Name(Required)

First Last

Email(Required)

Phone

Booking for...(Required)

An individual

An organisation

Organisation name

Booking details

Start date(Required)

Purpose of booking(Required)

Are you either a member of Counselling West Lothian or part of a charity?(Required)

Yes

Room requirements

What room(s) do you need?(Required)

Individual room (max capacity: 3)

Harris room (max capacity: 15)

Full ground floor (Harris and individual rooms)

Length of hire required

Individual room

Individual room (CWL/charity)

Harris room

Full ground floor (weekends only)

Confirm booking

Please check your details are correct above, then sign below to confirm your booking. You will receive a copy of the room hire agreement to your email.

Signature(Required)

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