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Booking Form

Date of Birth:

Address:

Postcode:

E-Mail:

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Home Telephone:

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Mobile:


MEDICAL DECLARATION

Do you have any illness, disability or allergy or are you undergoing any medical treatment at present? If YES, please give details below - all information will be treated in the strictest confidence:


COURSE DETAILS

Course Name: A value is required. Course Start Date:

PREVIOUS EXPERIENCE

Please summarise your previous experience firstly with respect to your chosen course and secondly, of the outdoors in general:

PERSONAL EQUIPMENT

For rock climbing and scrambling courses only, please indicate which of the following personal equipment you would like Snowdonia Climbing to provide (no additional costs apply):

Climbing Helmet Climbing Harness Climbing Rack

PAYMENT

Total Cost of Course £

Amount submitted £ Invalid format.A value is required. Please note, if booking less than 4 weeks prior to your course starting, payment of the full course cost is required. Otherwise a deposit of 20% of the full course cost is required in order to create a Reserved Booking. Cheques should be made payable to 'MA LAING'.

GROUP BOOKINGS

If you are booking as a member of a party, please list the other members below by name and title - PLEASE NOTE - all members must complete and submit a separate Booking Form and pay a separate deposit:

AGREEMENT AND UNDERTAKING

When printing and posting this form, please sign where indicated. Please tick the box to agree to the terms & conditions.

I understand that on submission of a 20% deposit of the full course cost or the full course cost (for bookings made less than 4 weeks prior to the course starting), a Provisional Booking will be made with Snowdonia Climbing. I understand that Snowdonia Climbing will then email me to confirm the booking as Reserved. I understand that deposits are non-returnable should I cancel less that 4 weeks prior to my course starting. I also understand that Snowdonia Climbing reserves the right to reassign course vacancies should balances not be paid within 4 weeks of courses starting.

I accept that mountaineering activities are hazardous by their very nature. I understand that Snowdonia Climbing staff and contractors employed by them, are appropriately qualified and experienced to run the activities and will at all times proceed in a manner to limit the risk of injury, and I accept that however unlikely, accidents and injury could occur. I confirm I have read and understood the booking terms & conditions and that I agree to accept and abide by them.

Please confirm that you have read the Terms and Conditions. Please tick to agree to the terms & conditions.

Please tick to indicate if you are under 18 and a parent or guardian is signing on your behalf.

(If you are not redirected to another page when you press this button, please scroll up through the form to find where there is an error, correct it and try again)

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