COURSE BOOKING FORM

Please print off booking form and return to.... Highpoint, The Wayside Pulpit, Elterwater, Cumbria, LA22 9JB
Your Details
Name  
Address      
       
       
       
Postcode      
Telephone (Day)       (Evening)       (Mobile)      
E-mail      
   
Emergency Contact Details
Name      
Telephone (Day)       (Evening)       (Mobile)      
   
Course Details
Title      
Date      (From)      (To)
Cost £                    I HAVE PAID ON-LINE           DEPOSIT ENCLOSED
30% course fee should be enclosed(please make cheques payable to “highpoint”)
 
Accommodation (If highpoint are providing accommodation leave blank)
   
Please provide contact details of where you will be staying: (Address and phone number please)      

 

 
About You  
PLEASE MAKE A NOTE OF ANY HEALTH/MEDICAL CONDITIONS OR PROBLEMS WE SHOULD BE AWARE OF…
     
 
Please make a brief note of your previous experience…
     
 
Where did you hear about us?
     
 
 
Equipment  
Having looked at the course equipment list, please make a note of your requirements (if any)…
     
 
 
Warning: Outdoor activities carry certain risks. We will do our best to minimise these, but we cannot eradicate them completely. I understand this statement and have provided accurate details above.      
If you have completed this form electronically, please check this box to show that you have read and understood the above statement  .
Signed: 

 

Please return to: Highpoint, Wayside Pulpit, Elterwater, Langdale, Ambleside, Cumbria, LA22 9JB

or E-mail to info@mountainguides.co.uk

 

 Date: