Booking Form
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| Which course would you like to book?
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| Course Start Date
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| Course Finish Date
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| Name
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| Email
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| Phone
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| Address
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| Street Address
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| Address Line 2
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| City
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| State / Province / Region
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| Postal / Zip Code
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| Country
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| Date of Birth
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| Please let me know of any medical conditions
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| Emergency Contact Details Name
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| Prefix
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| First
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| Last
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| Suffix
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| Relationship
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| Phone
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| How did you hear about Paul Poole Mountaineering?
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| Mailing List
| Please add me to the mailing list
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| Please indicate any relevant previous experience
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| MLT Candidate Number (for any SPA or ML course)
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| If attending a Navigation course please tick whether you wish it to count towards the National Navigation Award Scheme?
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Photography
During courses PPM may take photographs. These photographs may be used for publicity and marketing purposes in the future. Please check the box below if you are happy for your photograph to be taken.
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| Photography
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| I am happy for my photograph to be taken
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Course Payment
The balance of your course fee is due 30 days prior to the start of the course.! Please send your £100 deposit (or full course fee if this is less) or full payment with this form.
Payment can be made by Credit or Debit Card via PayPal direct from the website. If you wish to complete a BACS transfer, contact me for details.
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Payment
(please choose)
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| BACS Transfer PayPal
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Insurance
PPM has full public liability insurance, but the advise is for you to take out your own personal accident / cancellation insurance. If you already have insurance cover, check that it covers you for the activity you are undertaking.
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Conditions of Booking
Fees:
For group bookings, each individual must complete a booking form.
Only on receipt of a completed booking form and deposit or full payment, will a place be guaranteed.
A deposit of £100 per booking (or full course fee if this is less) is required with the completed booking form and the balance paid 30 days before the start date.
In the event that the course fee is not paid in full 4 weeks prior to the course commencement date PPM reserve the right to treat the booking as cancelled by the client and re-sell the course place.
If payment procedures are not adhered too, PPM reserves the right to cancel your booking with no refund of payment.
Cancellation by PPM:
Whilst every attempt is made to ensure that advertised courses actually run, PPM will notify the client of cancellation as soon as practicable where it believes on reasonable grounds that cancellation is necessary due to dangerous and/or unsuitable conditions for the course activity.
In the unlikely event that PPM has to cancel your course, you will be offered either a full refund or another date.
PPM will not be liable for any travel or accommodation related expenses.
Cancellation by the Client:
Cancellation by the Client must be in writing.
Once notified of the cancellation in writing, PPM will try to resell the course place(s). In the event that PPM is able to re-sell the course place prior to the commencement date of the course, the client will receive a full refund.
In the event that PPM is unable to re-sell the course place prior to the course commencement date the client will be charged the following cancellation fees:
If you cancel your place on the course giving PPM a notice of 30 days or more, then PPM will refund your payment in full.
Where notice is 29 days or less, PPM will refund 50% of your course payment.
Refunds will only be made after the commencement date of the course.
Insurance and Loss:
PPM courses do not include any personal accident, cancellation, third party liability or personal injury insurance. We recommend that you take out your own policy, recommended is the BMC Insurance. PPM will accept no responsibility whatsoever in respect of loss or damage to personal property.
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Safety Statement
BMC Participation Statement
"All mountaineering can be physically demanding, you must be fit enough to participate in the course you have booked onto. Climbing and mountaineering activities can be hazardous with a risk of personal injury and death." By booking a course you are aware and accept these risks and will be responsible for your own actions and involvement. PPM will teach you how to manage these, but can never completely remove them.
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Your Signature
Please confirm that you have read and understood the booking information relating to this booking. If returning electronically please tick the box below or alternatively please sign and return by post to the address below.
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| Signature
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| Date
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| Email Signature
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| I have read and understand the booking information
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Contact Details
Paul Poole Mountaineering
ppmountaineering@me.com
paulpoolemountaineering.co.uk
07786 360347
42 Newton Street, Llanberis, Gwynedd. LL55 4HN
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Image Verification
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EMF Web Form
EMF Web Form