Discovering our Future Booking form

Name*

First NameLast Name

Please enter your date of birth:*

Your email address*

example@example.com

What county are you a member of?*

What unit are you a member of and what roles do you hold?*

Do you have any accessibility requirements that we should be aware of?

Please provide any dietary requirements?

How will you be travelling to the event?

If you are aged under 18, please enter your parents/guardians email address below so that they can provide consent.

Parent/carer email for permission

An email will be sent to your parent/guardian/carer for permission.

Parent or carer email

example@example.com

Booking fee: Please note your booking fee is not refundable if you are unable to attend or decide to cancel your place.

Booking fee

£5.00 Quantity

Total

£0.00

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

I would prefer to send payment by

BACSCheque

BACS: Payment can be made by Bank Transfer, using the participant’s name as the reference: Sort Code: 40-34-33 Account Number: 91181076

Payment should be sent within 7 days of completing this form. Your booking is not confirmed until full payment has been recieved.

Cheque: Payment of £5 can be made by cheque (payable to Girlguiding Cymru). Please write the participant’s name on the cheque and DOFGGC on the back of the cheque.

Payment should be sent within 7 days of completing this form.
Your booking is not confirmed until full payment has been received.

Send to: Girlguiding Cymru, New Road, Newtown, Powys, SY16 1BD