Booking Form

Please complete the form below and you have the option to pay online, by phone or by post. If you have any problems please call Surf South West on 01271 890400.

Alternatively, if you would like to download and print the booking form in pdf format please click here. If you would like to download and print the booking form in Microsoft Word format please click here.

To confirm your booking, we require a deposit of £20 per person or full payment if the booking is made within four weeks of your course start date. All bookings are confirmed by us by post or email and will be sent with details of your start time, where to meet us and what you need to bring. You are also advised to print and keep a copy of the Terms and Conditions.

If you have already submitted a booking form and just wish to pay the balance of your course, please click here.

** denotes a required field

Please tick your preferred method to receive confirmation:

E-mail Post **

Full Name :

Address

Town

County

Post code

Daytime Telephone Number (Please include area code) :

Evening Telephone Number
(Please include area code) :

Email Address :

Course Dates

From to **

Please tick as required:

Weekend		Long Weekend
Mid Week		Mid Week Special
Full Day		Half Day
One to One

Please list names and addresses of all participants below :

Name	Age	Sex	Experience










Please list names, ages and ability levels of additional attendees below: Please list any disabilities, medical conditions, allergies, vegetarian requirements, special notes, etc. for any of the above names:

How did you hear about us ?
Where will you be staying ? (if already arranged)

Declaration - I certify on behalf of all people named on this booking form, by whom I am authorised to make this booking, that we have read the Terms and Conditions and agree that our course booking is made subject to these conditions.

To confirm your booking, we require a deposit of £20 per person or full payment if the booking is made within four weeks of your course start date. Please tick your preferred method of payment below.

If paying by credit or debit card payment will need to be made within 24 hours of submitting your booking form.

Please click here to read our Terms and Conditions

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