2025 @ St Matthews Brixton - HIRE REQUEST FORM Question Title * 1. ORGANISATION NAME: . Question Title * 2. YOUR NAME Question Title * 3. EMAIL Question Title * 4. TELEPHONE NUMBER: Question Title * 5. EVENT START DATE & END DATE START date Date END date Date Question Title * 6. EVENT START TIME / END TIME Start Time Time AM/PM - AM PM End Time Time AM/PM - AM PM Question Title * 7. PROPOSED EVENT: 1 ) Please provide as much information about the activity as possible to help us to understand your requirements. 2) HOW MANY PEOPLE WILL BE ATTENDING? - If multiple dates please provide details of numbers for each date. Question Title * 8. IS THIS A REGULAR EVENT? One off event Weekly Fortnightly Monthly OTHER - IF THIS IS FOR A REGULAR EVENT please state prefered days /time i.e... Mondays, Wednesdays or Fridays - AM or PM - IF FOR A ONE OFF EVENT - please state your choice of dates Question Title * 9. PROPOSED EVENT / ACTIVITY : WHICH SPACE/S DO YOU REQUIRE? (details of spaces are on www.stmattsbrixton.org) L4 - MainTheatre L4 - Gallery (2 tier) L4 - Piano Room L2 - Co Space L2 - Co Space + Breakout rooms OTHER (please provide requirements) Next