Client Booking Details

Client booking details

Please fill in the Client booking details form below to provide us with your personal details for a booking.

Alternatively, pleaseĀ click here to print a client details form which you can post to –

Exped Adventure Worldwide Ltd, The Old Studio, Main Street,Staveley, Near Kendal, Cumbria LA8 9LW.

Your privacy is important to us, we need this information for your safety and comfort. Please see our Privacy and Cookie Policy for more information.

Full Name (required)

Address (required)

Email

Telephone (required)

Mobile

D.O.B (required)

Activity you have booked with us (required)

Activity Start and End Dates (required)

Please outline any experience you have?

INSURANCE

Insurance Company

Policy Number

24 hour emergency number

 

Are you currently on any regular medication? If yes, please give details. Please also give information of any disability you have here. (required)

Is there any other information the Exped Adventure staff should know about your general health? Please also state any dietary requirements here.

Please supply contact details for the person you would wish to be contacted in the event of an emergency. (Including Address and Telephone numbers) (required)

I have read the Expedition, Challenge, Trek or Course description and the booking conditions and I accept these booking conditions in full. I am aware that participation in adventurous activities entails some risk of injury. Exped Adventure staff are trained, insured and qualified to run activities, however, participants accept that accidents and injuries may occur. By submitting this form you also understand it is your responsibility to organise appropriate insurance cover for this booking.

If you wish to pay your outstanding balance via bank transfer please email us for our details, otherwise make cheques payable to:

Exped Adventure Worldwide Ltd
The Old Studio,
Main Street,
Staveley,
Kendal,
Cumbria, LA8 9LW

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