More than Mountains Booking Form

 

Please make sure you have contacted us by email (info@morethanmountains.co.uk) or telephone (07984 410230) before filling out this form to ensure that there are still places left on your chosen course.

When you have sent this form you will need to pay the full amount due for your course; you can do this by sending a cheque to 16B Eskin Street, Keswick, CA12 4DQ or by transferring the money to More than Mountains, Sort Code: 01 04 69, Account Number: 34023399

 

Name
Title
Address
Address (continued)
Postcode
Telephone Number
Contact Number whilst in Lakes
E-mail
Date of Birth
Name and telephone number of someone we can contact in an emergency
Medical conditions, recent injuries, current medication
Course Name
Course Date
Relevant Experience
What do you hope to gain from this course?
How did you hear about us?  (If internet please give details)
Occasionally photos of our clients are used for More than Mountains publicity.  If you would NOT like us to use photos of your course please tick this box.	Please do NOT use photos of my course.
Please tick this box if you would NOT like to receive our occasional email newsletter with details of special offers, new courses and competitions.	No thanks.
Please tick this box if you agree to the following: I have read the More than Mountains booking conditions and am aware that it is my responsibility to obtain personal insurance. I am aware that participating in mountaineering activities involves some risk of injury or death.	I agree.