Blunts Barn Activities Booking Form

Blunts Barn Activities Booking Form
Bookings for Summer 2025 will go live on the 19th January 2025! If you are on our mailing list, you will be the first to hear when they have opened!
Please be aware that we are now fully booked. If you would like to be added to our waiting list for a fully booked day, please email info@bluntsbarn.com.
Parent/Guardian Full Name:*

TitleFirst NameLast Name
Address:*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Telephone - Home:

Area CodePhone Number
Phone - Contact 1:*
Phone - Contact 2:*
E-mail:*
example@example.com
Doctor/GP Surgery*

Street Address

Street Address Line 2

CityCounty

Post Code
Doctor/GP Phone Number*

Area CodePhone Number
How many children are you for booking today?*
Enter a number 1-5

Child 1 Information
Child's Name 1:*
Date of birth*

DayMonthYear
Date
This child is a*

Confident swimmer (can swim 10m un-aided)Weak Swimmer (does NOT require a flotation device)Weak swimmer (Requires a flotation device)Non-swimmer
My child has a medical condition*

NoYes
Medical information
Please give below any other comments/details about your child that we should be aware of, e.g. if they wish to be grouped with a friend.
Please be aware, wherever possible we will try and accommodate requests for groupings, however we cannot always guarantee groupings - particularly if the children are different ages or if the activities are age-restrictive. Groupings can also change from day-to-day.

Child collapse

Child 2 information
Child's Name 2:*
Date of birth*

DayMonthYear
Date
This child is a*

Confident swimmer (can swim 10m un-aided)Weak Swimmer (does NOT require a flotation device)Weak swimmer (Requires a flotation device)Non-swimmer
My child has a medical condition*

NoYes
Medical information
Please give below any other comments/details about your child that we should be aware of, e.g. if they wish to be grouped with a friend.
Please be aware, wherever possible we will try and accommodate requests for groupings, however we cannot always guarantee groupings - particularly if the children are different ages or if the activities are age-restrictive. Groupings can also change from day-to-day.

Child 2 collapse

Child 3 Information
Child's Name 3:*
Date of birth*

DayMonthYear
Date
This child is a*

Confident swimmer (can swim 10m un-aided)Weak Swimmer (does NOT require a flotation device)Weak swimmer (Requires a flotation device)Non-swimmer
My child has a medical condition*

NoYes
Medical information
Please give below any other comments/details about your child that we should be aware of, e.g. if they wish to be grouped with a friend.
Please be aware, wherever possible we will try and accommodate requests for groupings, however we cannot always guarantee groupings - particularly if the children are different ages or if the activities are age-restrictive. Groupings can also change from day-to-day.

Child 3 Collapse

Child 4 Information
Child's Name 4:*
Date of birth*

DayMonthYear
Date
This child is a*

Confident swimmer (can swim 10m un-aided)Weak Swimmer (does NOT require a flotation device)Weak swimmer (Requires a flotation device)Non-swimmer
My child has a medical condition*

NoYes
Medical information
Please give below any other comments/details about your child that we should be aware of, e.g. if they wish to be grouped with a friend.
Please be aware, wherever possible we will try and accommodate requests for groupings, however we cannot always guarantee groupings - particularly if the children are different ages or if the activities are age-restrictive. Groupings can also change from day-to-day.

Child 4 collapse

Child 5 Information
Child's Name 5:*
Date of birth*

DayMonthYear
Date
This child is a*

Confident swimmer (can swim 10m un-aided)Weak Swimmer (does NOT require a flotation device)Weak swimmer (Requires a flotation device)Non-swimmer
My child has a medical condition*

NoYes
Medical information
Please give below any other comments/details about your child that we should be aware of, e.g. if they wish to be grouped with a friend.
Please be aware, wherever possible we will try and accommodate requests for groupings, however we cannot always guarantee groupings - particularly if the children are different ages or if the activities are age-restrictive. Groupings can also change from day-to-day.

Child 5 collapse
Blunts Barn Mailing List

Yes, subscribe me to the mailing listNo, please don't subscribe me to the mailing list
I give permission for my child to be photographed and for photographs of my child to be used by Blunts Barn Activities in promotional materials:

YesNo
Acknowledgement of Risk & Responsibility

I agree to the conditions of booking and to allow my child to be taken off site
during the activities listed and for any activity of which Blunts Barn Activities staff
consider my child is capable. In exceptional circumstances when we are unable to contact
you we may have to give consent to emergency medical procedures or actions. By signing this, you are giving Blunts Barn Activities Staff authority to act in loco parentis in such
circumstances.

Most courses at Blunts Barn Activities include one or more adventurous activities. The
centre’s staff have, and fully accept, a duty of care to make those activities as safe as is
reasonably practical. They are required to adhere to a comprehensive set of safety rules
and there is a quality management system to monitor the fact that rules and procedures
are adhered to.

However, adventurous activities are inherently hazardous and cannot be completely risk
free however hard we try. Accidents can happen without any contributory negligence
from the centre or its staff.

Moreover, the environment at the centre is such that we cannot “fence off” all hazardous
areas. Your son or daughter must therefore help our staff to look after their safety by
listening carefully to instructions, by doing what they are asked to do and by not being
reckless by trying to do more than they have been briefed to do. Only give your consent if
you are confident that they will behave responsibly in this way. The centre can accept no
responsibility for loss of or damage to personal property or for personal injury not arising
as a result of its own action or default.

I understand and accept the above statements. My son or daughter is fit for the course
and will inform the centre before the course of any special medical conditions that might
affect my son’s or daughter’s safety.
Please tick the following boxes to say you agree to the terms*

Risk and Responsibility
Booking terms and conditions:
- We will confirm your child’s place within 24 hours of receipt of the booking form and payment. This will be via email so please check your Spam Inbox in case it ends up there.
- 40% of your full booking counts as a deposit - this is non-refundable in the event of a cancellation except in exceptional circumstances at the discretion of Blunts Barn Activities.
- Cancellations within 30 days of the course will incur a 50% fee. Cancellations within 14 days of the course are non-refundable.
- The day runs from 0900 to 1600. A fee of £5 per half hour or part thereof will be applied for parents collecting children after 1615 or dropping off before 0845.
- As a last resort, Blunts Barn Activities may exclude any child whose behaviour staff deem likely to cause damage or injury.
- Blunts Barn Activities reserves the right to change or cancel any activities due to unforeseen circumstances.
- If you choose to leave any of your child's belongings (e.g. a bike) on site out of normal activities hours, you acknowledge that this is done at your own risk. While Blunts Barn Activities staff will take reasonable measures to safeguard this property, they will not be held responsible for any loss of, or damage to, said items.
- No electronic items should be left on site with your child (phones, handheld gaming systems etc). We have no facility for storing these safely and take no responsibility for loss or damage of any electronic items brought to the site.
Please tick the following boxes to say you agree to the terms*

Booking terms

Blunts Barn Activities Booking Form

Day Selection and Payment
We are also offering extended day options, from 8am - 5pm. You can select these below after choosing your days.
Please be aware that we are now fully booked or have very limited spaces on many days.

If you would like to be added to the waiting list for a particular day, please email info@bluntsbarn.com

Choose which days you would like your child(ren) to come - Please select whether you would like Early drop-off (from 8am)/Late pick-up (until 5pm) for specific days.*

Total £0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Blunts Barn Activities Booking Form

Bookings for Summer 2025 will go live on the 19th January 2025! If you are on our mailing list, you will be the first to hear when they have opened!

Blunts Barn Activities Booking Form

We are also offering extended day options, from 8am - 5pm. You can select these below after choosing your days.

Please be aware that we are now fully booked or have very limited spaces on many days.