Date of Birth: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996
Address: Postcode: E-Mail: Invalid format.A value is required. Home Telephone:
Address:
Postcode:
E-Mail:
Invalid format.A value is required.
A value is required.
Mobile:
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.
Signature Date
(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)
Back to Top