Request a Loan

Institutions may use this form to apply to Worthing Theatres and Museum for loan of objects.

Please refer to the Loans from our Collection page before completing this form. It is important to provide as much information as possible.

Name of institution requesting the loan

Address of institution requesting the loan

Institution postcode

Contact name

Contact telephone number

Contact email

Name and address of venue (If different from above)

Proposed name of project

Proposed dates

Objects requested for loan

Brief description of the project

Any plans to tour?

Is an Exhibition publication planned?

Are associated learning activities or events planned?

Does the project link to other Worthing Theatres and Museum activities?

Have you have contacted a member of Worthing Theatres and Museum staff to discuss the proposition?

If you have borrowed from us or another UK National Museum within the last five years, please tell us about it with reference to object(s) borrowed, the exhibition/project, and the loan period.

Please confirm you are willing to meet Worthing Theatre and Museum's requirements for security, environment and display for loan objects

I confirm

Please include the following completed documents as part of your loan request where possible: UKRG Facilities Report / AAM Standard Facilities Report UKRG Security Supplement UKRG Display Case Supplement Please include any supporting documents (covering letter, images, etc.) as part of your loan request. (pdf, zip and doc only, 5mb max)

The personal information we collect from you is used solely for the above request(s). The data will not be shared with any third party, and will be held securely in accordance with current data protection legislation. For more information please read our Privacy Policy.