Forename              Course   

Surname                       Date(s)  

Address              Cost per person    Number of people            

County                                       

Post code  

Tel:          

Mobile:     

E mail:      ** You must enter a valid e mail address**

Medical conditions.  Please us the box below to tell us about any medical conditions which you have.  This information will be treated in the strictest confidence, and is very unlikely to prevent you from doing the activity.

With your permission, Joint Adventures will also offer to take photographs of your activity.  We will occasionally use these photos in promotional material.  Please tick the box if you are happy for us to do this.

Declaration  I understand that the activity I have chosen has associated risk and that the risk will be managed by the instructors in accordance with best practice.  Whilst the risks can be effectively managed, I accept that there remains a small amount of risk which under the guidance of the instructor I am  happy to accept. 

          I accept these conditions