ROCK & ICE COURSE BOOKING FORM

If you have received this by FAX, please ensure that you can clearly read all the text

You have to be over 18 years of age unless fully supervised by a parent or legal guardian.

Main Contact Person Details:

Names of persons attending, age + foot size

Name

1

Organisation / House name

2

3

No. & Road

4

Area / Village

5

Town

6

County

Course Booked

Postcode

Venue

Day Phone No.

Preferred Course Date

Day Fax No.

Alternative Course Date #1

Evening Phone No.

Alternative Course Date #2

Email.

Other Course & Date

Mobile No.

Please indicate your chosen option for payment — see Terms of Business below

I enclose payment in full

I enclose a 50% deposit, and will send the balance 4 weeks before the course date

I have Sportscover insurance Y/N

Please complete both pages

OFFICIAL ORDER NUMBER / REF.

I have read and accept the terms of business.
Signature:

Date

Total of course fees due = £

Deposit enclosed = £

Balance due = £

Please send this form and payment ( cheques made payable to Rock and Ice )to:

Rock and Ice, 35 Ashes Avenue, Hulland Ward , Ashbourne, Derbyshire, DE63FT

Phone. 07740 302131

Email info@rockandice.net

Terms of Business

UNAUTHORISED DELAYED SETTLEMENTS:

Rock and Ice reserve the option to levy interest at 5% per week over Bank Base Rate for settlements made later than 28 days from the course date or the date on which goods or services were supplied. 

CANCELLATIONS:

Where a course is cancelled by Rock and Ice, we will refund all monies paid to us - In all cases liability will only extend to the refund of monies received.
Where a course organiser or an individual client cancels or moves the course dates more than 30 days before the course commencement, Rock and Ice reserve the right to retain any monies paid to them as deposit.

Where a course organiser or an individual client cancels a course / course place less than 30 days before the course commencement, or fails to attend, Rock and Ice reserve the right to retain any monies paid to them / offer an alternative date / or press for full settlement.  Rock and Ice will do their utmost to provide the agreed course tuition / services, but cannot be held responsible for late commencement / non-attendance / late course cancellation due to circumstances outside of their control, such as hazardous weather conditions, accident, transport theft / malfunction, incapacitating illness, strikes, civil unrest, riots etc.  In the interests of safety, course quality, continuity and the best interests of other course members and any other factors that we feel appropriate, Rock and Ice reserve the right to decline to accept a booking, to cancel an accepted booking and if necessary to require a person to leave a course that is underway, with any financial liability extending solely to the discretional refund of any fees received.

PRIVACY STATEMENT:
We do not store any credit or debit card details.

For cancellation and personal accident insurance Rock and Ice recommend Sports cover Direct

MEDICAL. In confidence — do you or any of your party have any current medical condition that the organiser / Instructor should be aware of?

Brief outline of outdoor activity experience

Please detail any recent illness / injury [Type & date]

Next of kin and telephone numbers

1

2

3

4

5

6

Please outline your previous experience in this particular field

Any other comments?

Research       

Your comments would be most appreciated.    Please mark the appropriate boxes

How did you hear of these courses?

J ATTENDED A PREVIOUS COURSE           J RECOMMENDATION — by

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