Course Booking Form
Name:
Age:
Tel No:
D/O/B:
Additional Contact No.
Address:
Email:
Medical conditions:
Name of course:
Course Date:
Payment please tick payment type
I've enclosed a non-refundable deposit of €100
Cheques made payable to Ardmore Adventures Ltd
Deposit paid online via Paypal
Paid in FULL online via payapal
Booking Conditions
1. A non refundable deposit must be paid on booking, with the balance payable no less than 2 weeks
before arrival at the centre
2. If Ardmore Adventures is unable to place you on a suitable course then the deposit will be
returned.
3. Participants with any medical conditions, illness, injury or any medication must provide evidence that
they are suitable to take part in activities. A medical certificate is required for this purpose.
4. Persons partaking in water activities must be water confidant. If unsure, please contact the
centre to discuss suitability.
5. Persons must be generally physically fit to take part in all activities
6. Persons must be willing to comply with all safety regulations and carry out instructions as
requested by the staff at the centre.
7. Ardmore Adventures reserves the right to cancel or alter any programme as it deems necessary.
In the event of cancellation an alternative programme or date can be arranged.
Decleration:
I agree to accept responsibility for omissions regarding my failure to disclose any existing or past health
condition. I agree to abide by such regulations as Ardmore Adventures or its representatives may consider
advisable in order to ensure the safety of the course or participants. In consideration of and through my
involvement in an Ardmore Adventures training course or assessment, I hereby acknowledge and agree to
release Ardmore Adventures and its agents from any and all liabilities, which might result from my
involvement in the course, indicated above.
I HAVE READ AND UNDERSTOOD AND AGREE TO ALL OF THE ABOVE CONDITIONS,
Please Click to Confirm
Signed:
(PARENT, GUARDIAN if under 18)
OFFICE USE ONLY:
DEPOSIT RECEIVED:
AMOUNT RECEIVED:
DATE RCVD:
Please Return to: Ardmore Adventures, Main St, Ardmore, Waterford
Or email to: [email protected]