01228 420123
info@independentadventure.co.uk

Registration

Please fill in your details below to register for 11-15yrs Adventure Session (Woodland).

Your First Name *

Your Last Name *

Phone *

Email *

Where did you hear about us? *

Name of participant *

Add me to your mailing list *

Yes

Age of participant (2) *

Medical/Behavioural/Access requirements

Emergency contact (name and number) *

Payment Information

Coupon

Amount

Discount Amount

Gross amount

Payment Method

Credit/Debit Card

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

By registering for this event, I accept the terms and conditions. I accept that I (my child) is responsible for their own actions and involvement, and that participation in adventurous activities has risks that may result in injury or death. (this statement is a condition of our insurance and we are fully licensed, qualified, and risk assessed) Terms and Conditions

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Talkin Tarn, Tarn Road, Brampton, Carlisle, CA8 1HN

01228 420123

info@independentadventure.co.uk

Terms & Conditions

Registration

Payment Information

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Event Planning

Outdoor Activities

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