Wilderness Development

Personal development and outdoor education

Pre arrival questionnaire

Your Name

Your Email

Your Contact number

Your Activity Choice

Any specific request, eg location, add a second activity?

The date of your activity

(We'll call you to confirm).

Number of Adults

Number of Children

Kit and Equipment

Your emergency contact's name

Your emergency contact's numbers

Your emergency contact's relationship to you (eg. Mother)

Does anyone in this booking have any potentially serious or unusual medical issues that could affect their ability to participate in the activity? (Asthma, epilepsy, diabetes, severe allergies etc). This will be kept strictly confidential

Have you paid already, or shall we contact you to take payment?

Please enter the type and/or serial number of any voucher that you'd like to redeem.

I have read and accept the Terms and Conditions of booking.