TRAINING BOOKING FORM COURSE TITLE Climbing for All DATE Friday 5th December VENUE Tollymore National Outdoor Centre, Bryansford COST £45 pp, Includes Lunch NAME JOB TITLE ORGANISATION ADDRESS COUNTY POSTCODE TELEPHONE NO EMAIL ADDRESS This course is a Mountain Training Association accredited CPD module for people with climbing NGB awards, however you can still attend without holding an award. Please indicate if you have any of the following: Training Assessment CWA SPA MIA / MIC Other (please specify) 1 Please indicate if you require any special requirements, eg, Access, dietary, BSL/ISL interpretation, information in alternative format, or facilitates for assistance dogs: Method of payment (please tick appropriate box): Cheque enclosed made payable to Outdoor Recreation NI Invoice organisation (provide Purchase Order Number if available) Cancellations: Refunds (less 25% cancellation fee) will only be made for written cancellation received 1 week before the training date that you have chosen to attend. Please return booking form to: Richard Gawith Training and Development Officer Outdoor Recreation Northern Ireland The Stableyard Barnetts Demesne Malone Road BELFAST BT9 5PB EMAIL: TEL: richard@outdoorrecreationni.com 028 9030 3930 Bookings must be received by: 28th November 2014 2