Email: enquiries@barkingmadsurvival.co.uk

Web: www.barkingmadsurvival.co.uk

Tel: 01480 384426           Fax: 01480 384426

Accredited by the Welsh Tourist Board

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Basic Survival Course Booking Form

Print this form then choose one of the following ways to send it to Barking Mad Survival School:

v     To make payment by PayPal click here and 

Date course required from "Course Dates" page

v     Fax it to 01480 384426

v     Email the information from the form to enquiries@barkingmadsurvival.co.uk (a signed version will need to be faxed/posted at a later date)

v     Post the form with your deposit cheque to:

Barking Mad Survival School
33 Silver Street
Godmanchester
Cambridgeshire     PE29 2HR

£40 deposit is required to secure your booking.  The balance will be due four weeks prior to course date.  If you do not make the deposit payment within 7 days of receipt of your booking form via fax or email, we cannot guarantee your place but we will endeavor to accommodate all bookings.

Please ensure you have read our Terms & Conditions before making your booking.

 

I/we would like to attend your Basic Survival Course on ________________ (insert agreed date).

I/we have read and understood your Terms and Conditions.  I/we agree to abide by these Terms and Conditions.

(Terms and Conditions are available via email, fax or post).

I/we enclose payment of £_________ (course fee £140 per student).  Payment is by cheque only.  Please make cheques payable to "Barking Mad Survival School".

 

Please complete the information below for all students:

Full Name

___________________________________________________________

Address

___________________________________________________________


___________________________________________________________


___________________________________________________________


___________________________________________________________

Telephone No.

___________________________________________________________

Email

___________________________________________________________

Next of Kin
Emergency Contact No.


___________________________________________________________

Date of Birth

___________________________________________________________

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Full Name

___________________________________________________________

Address

___________________________________________________________


___________________________________________________________


___________________________________________________________


___________________________________________________________

Telephone No.

___________________________________________________________

Email

___________________________________________________________

Next of Kin
Emergency Contact No.


___________________________________________________________

Date of Birth

___________________________________________________________

(Use separate sheet if necessary)

Have you or any member of your group any medical condition(s) that will endanger the health and/or safety or you or other course members or instructors?

Yes / No.  If yes, please provide details below.  (This information is confidential).

__________________________________________________________________________________________________________________________________________

 

Signed:          ____________________               Print Name:   ____________________

Date:           ____________________

Home ¦ Basic Course ¦ 5 Day Course ¦ Fungi Weekend ¦ Wayfarers Course ¦ Course Dates ¦
How To Book ¦ Gift Vouchers ¦ Course Photos ¦ Guestbook ¦ Contact Us