Name
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First Name
Last Name
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Date of Birth
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Address
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Email
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Contact number
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Course
Start date of course
Please let us know why you want to do this course? And include any previous experience.
Number of days
Please list any kit you need to loan?
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Details of any medical, conditions AND any medicine or treatment being given or taken that may affect you on the course you have booked
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Any information that will help us to look after you during the course. For example, how medication or a medical conditions affects you. How we can support mental well being.
Do you learn or process information differently? Can you please share any methods that help your learning so we can maximise that for you.
Emergency Contact, Name and relationship to you
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Emergency contact phone number
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Country Code
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Area Code
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Newsletter
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Is it OK for us to use photos of you on the course in our marketing?
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How did you discover Kathryn James - Mountain Expertise?
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Google search
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Please tick the following boxes to confirm
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I have read, understand and agree to the terms and conditions
I recognise that mountain acitivities are dangerous and can result in serious injury or death
I am arranging cancellation and medical insurance for my course.
I am signing consent for an under 18 in my care
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