Booking form

Please fill out our online booking and medical form. If booking on behalf of a third party you accept these terms on their behalf and so it is important that you make them aware. All information submitted is confidential and no information will be shared with other external parties.

All members of the group will need to fill out a booking form.

First Name

Last Name

Age whilst on the trip

Email

Mobile Phone number

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Previous experience

Aims and Aspirations

Course chosen

Date of course

The course fee agreed with Lou Reynolds

Emergency contact name

Emergency contact number

Medical details

Medical and rescue insurance

I accept the terms & conditionsView terms and conditions

Climbing and mountaineering are activities with a danger of personal injury or death. By booking a course in these activities you are aware of and accept these risks and will be responsible for your own actions and involvement. We will teach you how to manage these risks but we can never completely remove them. You confirm that you are familiar with the nature of the activities that you wish to undertake and acknowledge those risks that are inherent therein and that you may freely withdraw from any activity without penalty and there is no pressure whatsoever to take part. Please tick if you have read and understood.

Please tell us if you have any dietary requirements to help with our hut bookings

Any other information

Thanks for submitting!