Brenscombe - DofE Gold Booking Form

DofE Gold Residential - Booking Form - Brenscombe

Thank you for choosing to book with Brenscombe Outdoor Centre. To secure a place you will be required to pay a £100 deposit. The remaining £299 will need to be paid 4 weeks before your visit. The total programme price (£399) includes all specialist equipment and your contribution to the communal food kitty. No extra expenditure is required for the duration of the course.

Which week would you like to book? Please select your date.

DofE Gold Residential at Brenscombe Outdoor Centre

£100.00 Programme dates

Total

Stripe Data
Confirm Date
Please double check this lists the same date as your selected payment option above
Name

First NameLast Name
Email Address - (ALL FUTURE CORRESPONDENCE WILL GO TO THIS EMAIL ADDRESS)

Confirmation EmailPlease enter your email address twice
Primary Phone Number

Area code if requiredPhone Number
Secondary Phone Number

Area code if requiredPhone Number
Address

Street Address

Street Address Line 2

CityCounty

Post Code
Date Of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearMinimum age of 16 at the time of the course
Age
At the time of course
How did you hear about the DofE Gold Residential programme at Brenscombe Outdoor Centre

Other
Signature
Please verify that you are human
Should be Empty:

DofE Gold Residential - Booking Form - Brenscombe