WILD CAMPING LAKE DISTRICT
13 to 15 May, 2022

Trip Dates

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email Address

Mobile Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name & Phone Number

How did you hear about the retreat?

Allergies or Dietary Requirements

Please specify if you take any prescribed medication or if you have any medical condition that may effect your ability to hike for 6 hours.

Please click here for our TERMS & CONDITIONS
In submitting this form you acknowledge that you have read and accepted the Terms and Conditions
NB Please pay particular attention to the hill walking section

Payment Schedule: Your place is not reserved until you have paid the appropriate deposit. All payments are non-refundable.
Non refundable deposit of £95 due on booking; balance of £90 due on or before 31st January, 2022
Payment should be made to the bank account detailed below

Bank Details - please transfer payment to the following account:
Sarah Raspin
Natwest Bank
Account Number 88984044
Sort Code 60 17 21

WILD CAMPING LAKE DISTRICT13 to 15 May, 2022

WILD CAMPING LAKE DISTRICT
13 to 15 May, 2022