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Member of the Association of Mountaineering Instructors

Booking Form

Personal Details


Date Of Birth

Contact Details




Emergency Contact

Medical Conditions

Are you undergoing any medical treatment or do you have any illness, allergy or disability? - If yes, please give details below

Course Details
Previous Experience

Please summarise previous experience of your chosen activity:

Equipment

Please tick which of the following equipment you need us to provide




Accommodation


Packed Lunch

We can provide a packed lunch at an extra cost of �per lunch.



Payment

The Course fee is £0, subject to confirmation.

In the box below enter the course fee + cost of shoes + cost of lunches.

Final Questions

Undertaking & Agreement

If you are printing and posting this form, please sign. If you are submitting online, please tick the box to agree to terms and conditions

I understand that this is a provisional booking and once a place has been confirmed, I will pay a deposit of 40% of the full fee to Dringo Adventure. This is non refundable, unless the course is cancelled by Dringo Adventure.I accept that mountain activities and sports are hazardous by their nature. I understand that Dringo Adventure staff are appropriately qualified and experienced to run the activity and will at all times proceed in a manner to limit the risk of injury, and I accept that accidents and injury may occur.I confirm I have read and understood the booking terms and conditions and that I agree to accept and abide by them.



Submit Booking or Print

This booking form will NOT be displayed again, if you want to submit online, but keep a copy for your records, please print NOW, before submitting

Send by Post

Deposits are payable on receipt of confirmation of a place on the course. Please do not send deposits with the booking form.

Please send by post to :

Bookings
Dringo Adventure
8 Menai Street
Y Felinheli
Bangor
Gwynedd
LL56 4HX

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