BT1E: Booking Form

1. A booking will be considered firm upon receipt of this completed form. BT1E: Booking Form 2. A non-refundable deposit of 20% of the total course cost (including VAT) must be paid to secure your booking. Please make cheques payable to Bendrigg Trust. 3. Non-receipt of deposit will be regarded as cause for Bendrigg to cancel your booking. Individuals 4. You will be contacted for your final confirmed numbers 12 weeks before your visit when a balance invoice will be issued. Bendrigg cannot reimburse for any participants not attending once final numbers have been given and the balance invoice issued (please see Travel Please use this form to book spaces on any Duke of Edinburgh Award, Spirit Insurance section below). of Adventure or Open Courses. Fill in any blank fields, sign and return to the 5. The balance is due no later than 8 weeks prior to your course start date. address on the bottom of this form. Cancellations In the event of cancellation by you, you will be subject to the following charges depending on the Name: . notice given: Address: . Notice given (prior to course start date) Payment Required More than 12 weeks Deposit only (20% of the course fee) Email: . 8-12 weeks 50% of the total course fee Contact No: Mobile: . 4-8 weeks 80% of the total course fee Less than 4 weeks 100% of the total course fee Course title: . Travel Insurance Course dates: From: To: . We strongly advise that you purchase appropriate travel insurance to include cancellation, personal accident and loss or damage to personal belongings. Male Female Other No. of participants 1. Medical and consent forms must be completed and signed by all participants on a course No. of accompanying staff (including accompanying carers) and sent in advance to Bendrigg. For group members under the age of 18 these must also be signed by a parent or guardian. Are you a wheelchair user?: . 2. All medical conditions, ailments and allergies of group members and leaders must be declared on the medical and consent forms. Are you bringing a guide dog? Yes/No 3. Whilst Bendrigg will take all reasonable steps to ensure safety, the Trust accepts no liability in How did you hear about Bendrigg Trust?: .. respect of loss or damage to property or injury to persons. 4. No pets are permitted, other than guide and assistance dogs. 5. Bendrigg reserves the right to terminate any booking by visitors failing to meet these terms A non-refundable deposit of 20% is required to secure your booking. You will be sent and conditions. an invoice for this upon receipt of a completed booking form. By signing this form you acknowledge that you have read and agree to the terms and conditions set out opposite and you are authorised to make this booking on behalf of your group.

Signature: Position: .. Name: Date: . Terms and Conditions of Booking (Please detach and retain) Booking and Payments Registered Charity No. 508450 | A Company Limited by Guarantee Reg. No. 1396557 Registered Office: Bendrigg Lodge, Old Hutton, Kendal LA8 0NR |Tel: 01539 723766 | Web: bendrigg.org.uk | Email: [email protected]