Booking Form

Before attending a course please fill in the following details. A hardcopy of the form can be downloaded here 

Personal Details

Course Details

Emergency Contact Details

All medical details will be kept in the strictest of confidence.

  1. Do you suffer from any  medical conditions or  physical injuries that we might need to be aware of
  2. Is there any other medical or non-medical condition that you feel it would be useful to inform us about, bearing in mind the nature of the activity that you are going to book upon?
  3. Do you suffer from any allergies?
  4. Are you allergic to any medication?
  5. Are you taking any form of medication? And if so what?

 

I agree that to the best of my knowledge all the above details are true and correct and that if I develop any medical conditions before the course I will inform you immediately.

Pressing the following agree button indicates that you agree with the medical declaration above and have read and agree with our Terms & Conditons that can be found here

 

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