Wilderness Development

Your Name

Your Email

Your Contact number

Your Activity Choice
First Aid - 4hr BasicGuided mountain walkMountain Adventure scrambleWeaslingBCU - Foundation Safety & RescueOpen canoe journeyGorge Walking

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

Your Prefered date

or next available date? (We'll call you to confirm).

Number of Adults
123456

Number of Children
012345

Kit and Equipment
I will use Wilderness Development's kit and equipment.I will provide all my own kit and equipment for the activity.

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?
---I still need to pay for this booking.This booking has already been paid (I'm redeeming a voucher)This booking has already been paid (I've paid in advance)

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.