Booking Form Sept 2019

Booking Form

Please complete this booking form so we have all the details we need before your adventure begins!
Full Name *

First Name Last Name
Date of Birth *

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E-mail *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *
Medical conditions (such as asthma, epilepsy, angina, diabetes etc.), allergies and recent injuries. *
Name of Emergency Contact *
Phone Number of Emergency Contact *
Previous Experience
Chosen Course
Start Date

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Number of Days
Names of Other Participants
Please complete a separate form for each participant
The balance of your course is due four weeks in advance. The course will be booked (subject to confirmation of dates) on receipt of this booking form and a deposit of the fee for one day.
If I cancel the course (a) prior to 4 weeks before the start date I will receive no refund of deposit, (b) less than 4 weeks before the start date I will receive no refund of the course fee. If Abacus Mountain Guides Ltd. cancels I will receive a full refund of the fee paid or a course on different dates. *

I agree
I understand Abacus Mountain Guides will provide a qualified, experienced, insured and suitable guide or instructor. The deposit payment secures this booking. The guide/instructor is responsible for the delivery of the activity. *

I understand
I am aware it is my responsibility to obtain cancellation insurance and personal accident insurance prior to the start of the course. All participants are fit enough for the course and will abide by the safety regulations given to them. I am aware that mountain sports are hazardous and I accept an element of risk of injury. *

I agree
Abacus Mountain Guides would like to take photos of you doing the activity.

I am happy for Abacus Mountain Guides to take photos of me and use them on its blog, social media channels and promotional material. I am happy for Abacus Mountain Guides to take photos of me but I want to keep them private. I am not happy for Abacus Mountain Guides to take photos of me.
How did you hear of Abacus Mountain Guides?

Payment

GBP Deposit/Full Amount

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

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

Should be Empty: