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E-Booking Form

Book online

E-Booking Form

If you would like to submit and electronic booking form please feel free to do so using the form below.  Please submit a form for each person attending.

Alternatively if you prefer to print and send a booking form by the post you can download a copy here:

James Thacker Mountaineering Booking Form

James Thacker Mountaineering Terms and Conditions

 

Name: *
Over 18?: *
Address: *
Occupation:
Tel:
Work Tel:
Mob Tel:
Email: *
Title of course/guiding:
Prefered Dates:
Previous experience and aspirations: *
Emergency contact during course:
Any health issues, injuries or medical conditions that may affect participation: *
CONSENT. I agree to authorise James Thacker (or associates), during the course/activity to approve such medical treatment as deemed necessary in an emergency and/or in accordance with the recommendations of a qualified medical practioner: *
I have read and understood the Terms & Conditions relating to this booking, and in particular those concerning cancellation: *
I understand that bookings are accepted on the understanding that all safety requests are observed: *
I accept that James Thacker Mountaineering is not under any liability whatsoever in respect of loss or damage to personal property, not caused by the negligence or default of James Thacker Mountaineering or associates while attending this course: *
PARTICIPATION STATEMENT: I have had my attention drawn to the information on insurance cover, terms and conditions and the above Participation Statement. *
Signed (please type): *
Date: *
Where did you hear about James Thacker Mountaineering?:
 Word of mouth
 Web search
 Google Ad
 UK Climbing.com
 AMI Listings
 BMG Listings
 Leaflet/Flyer
 Other
Would you like to receive further information from James Thacker Mountaineering?
 Yes, via email
 Yes, via post
 Contact by phone
 No Thanks!
Please type the letters and numbers shown in the image.
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Payment Options:

1.  BACS Transfer, details by request. Please add you name to the reference field when making a payment. Thanks!

 

2.  Write a cheque payable to James Thacker Mountaineering and post to 8 Stanage Rise, Sheffield, S12 4SB