COMPASS WEST INTERNATIONAL SCHOOL OF ROCK CLIMBING

APPLICATION FORM (POSTAL)

PLEASE PRINT OUT THIS FORM AND POST TO:

(Please complete this form in capital letters)

FULL NAME (MR/MRS/MISS)

AGE

ADDRESS:

TEL:DAY

EVE

WHICH COURSE ARE YOU APPLYING FOR:

FIRST CHOICE

DATE

COURSE NO

SECOND CHOICE

DATE

COURSE NO

IF YOUR COURSE IS FULLY BOOKED DO YOU WANT TO BE PLACED ON A WAITING LIST: YES / NO

PLEASE STATE 'I'HE STANDARD OF WHICH YOU CLIMB AT:

LEADING:

SECONDING:

FURTHER EXPERIENCE:

FOR MULTI ACTIVITY/CANOEING COURSES ALL APPLICANTS MUST BE ABLE TO SWIM. PLEASE STATE ABILITY:

ARE YOU SURE YOU ARE PHYSICALLY FIT TO TAKE PART IN THE COURSE YOU ARE APPLYING FOR: YES / NO

PLEASE INDICATE ANY DISABILITY:

FIND ENCLOSED MY: DEPOSIT / FULL PAYMENT OF £

Clirnbing/Mountaineering and Outdoor Pursuit has a certain amount of risk and danger involved with it, and although we take every care to minimise these risks, participants should realise that accidents are possible.

Where appropriate, parents and students should consider this aspect of their participation in our courses.

Personal insurance can be obtained from the B.M.C offices.

UNDERTAKING:

I understand that deposits are not returnable once a place has been booked for me at Compass West. It's instructors and staff are not liable whatsoever in respect of any loss or personal injury which I may sustain whilst on a holiday or course. Iunderstand the terms of cancellation.

For applicants aged 17 years old or under this must be signed by a parent or guardian.

Signed:

Do you have a friend who would like to come on one of our courses? Fill in their name and address below and we will send them one of our brochures.

NAME:(Mr/Mrs/Miss)

ADDRESS