Booking Form

If you are booking for yourself and up to 4 friends or family members please fill in this form

Your Holiday / Course Holiday / Course Title: Holiday / Course Date: No of Participants:

Your Name and Details Title: Forename: Surname: E-mail: Telephone Day: Telephone Evening: Mobile: Address: Postcode: Room Type:

Prefered Method of Contact Telephone Email Post

Names and Details of Other Participants

Person 1	Title 1:	Name 1:	Date of Birth 1:	Room Type 1:
Person 2	Title 2:	Name 2:	Date of Birth 2:	Room Type 2:
Person 3	Title 3:	Name 3:	Date of Birth 3:	Room Type 3:
Person 4	Title 4:	Name 4:	Date of Birth 4:	Room Type 4:

Emergency Contact

Please provide a name and contact number of a person we can contact in the event of an emergency.

Name of your emergency contact: Telephone No for emergency contact:

Details of your experience and requirements Please give details of your previous experience of your chosen activity: Please give details of any Special Requests (e.g. dietary requirements):

For your peace of mind and to ensure everyone has an enjoyable time with us please let us know of any health conditions or medical treatment anyone in the group is undergoing (e.g. diabetes, asthma, epilepsy, heart conditions etc.). Please give details below or write to us in strictest confidence.

Please give details of Medical Conditions:

Where did you hear about us?

Where did you hear about Dringo Adventure? If you searched on the internet, please indicate which search engine and which key words you used.

Details about how you found us:

Terms and Conditions

Please click here to read our terms and conditions.

I have read and fully understand the terms and conditions

Insurance

Please click here to read the advice on insurance.

I have read and fully understand the advice on insurance

Please answer the question below to verify you are not a robot/SPAMmer:

What happens on December 25th? (9 character(s) required)