Application - UK Outdoor Pursuits - UK Based and ski trips only

 Can be used for postal or on-line applications.     Do not use for international treks

How did you hear about this event  
Your personal details
E mail address - Will only be used to contact you if there is a problem with your application  
First name  
Surname  
Address Line 1  
Address Line 2  
Town  
County  
Postcode  
Date of Birth   /   /  
Male / Female  
Contact phone number  
Event details
Event name  
 
Deposit payment
How do you wish to pay your deposit   On-line = Card Only  /  Postal = Card or Cheque
Please ensure that you read the terms and conditions BEFORE you agree to them.
I declare that I have read and agree to the Terms and Conditions relating to this event. I further declare that I have no medical or other conditions that may in any way affect my participation in this event and that I will notify the organiser should such a condition become apparent after my booking has been accepted.
Confirm your agreement to the terms and conditions