Booking form for ITI Walking Weekend, Castleton, 14-16 June 2013
Please complete and return this form by post with your deposit (payable to Jacqueline Birnie) to:
Jacqui Birnie, (Castleton 2013), 2 Palmer Crescent, Old Hall, Warrington, Cheshire, WA5 9PZ
The return of this completed booking form signifies that you explicitly agree on your own behalf and
on that of your companion/s [if any] that whilst every care will be taken by the Hon Organisers and
all other persons assisting in leading walks, etc, or similar, it is understood that individuals participate
in any walk/activity entirely at their own risk and agree to hold the Hon Organisers and/or all other
persons assisting in leading walks, etc, or similar, entirely harmless and free from liability in relation
to any damage, loss of property, personal injury, etc, arising directly or indirectly, howsoever caused.
It should be particularly noted that some of the walks/activities may be unsuitable for younger
children. Parents, or those in a similar position, will be specifically responsible for their minor
dependant’s conduct and safety at all times. Participants and their companion/s [if any] may care to
review their own insurance and/or consider taking out appropriate insurance cover in respect of this.
Name (title, first name, last name) ..........................................................................................
Gender (M/F)
Address in full (including postcode and country if not the UK)
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Email .......................................................................................................................................
Telephone and/or mobile number ...........................................................................................
Name and gender of any companion(s), age of each if under 18
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Total number of people including you: 2
Dates of nights you wish to stay at Losehill Hall Youth Hostel: .............................................
Do you wish to book other accommodation? If so, please let us know:
I enclose my deposit of £20.00 per person to book a place on this weekend.
Signed ......................................................................................................................................
If you have any queries please write them below.
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