Name
*
First Name
Last Name
Pronouns (he/him, they/them, she/her)
Date of Birth
*
Address
*
Email
*
Contact number
*
Course
Start date of course
Number of days
Course of Interest
Please Select
Please Select
Family Climbing
Rock Climbing
Scrambling
Winter Climbing
Winter Skills & Mountaineering
Professional Development - MCI/RCI/ ML
Navigation
Please let us know why do you want to do this course? And about any previous experience.
Please list any kit you need to loan?
*
Details of any medical, physical or behavioural conditions AND any medicine or treatment being given or taken that may affect you on acitivites
*
Emergency Contact, Name and relationship to you
*
Emergency contact phone number
*
Please enter a valid phone number.
Is it OK for us to use photos of you on the course in our marketing?
*
YES
NO
Is it OK for you to contact you occasionally with news or offers?
YES
NO
How did you discover Kathryn James - Mountain Expertise?
Please Select
Google search
Word of mouth/recommendation
Instagram
Facebook
Podcasts
Other
Payment options
*
50% deposit payable within 7 days of booking, remainder of fee due 4 weeks before course date
Full payment
Please tick the following boxes to confirm
*
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.
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