The UK Survival School

COURSE BOOKING AND HEALTH & SAFETY FORM

 

Course Title....................................................................................................................

 

Preferred Course Date………..……………….….....……Alternative Course Date ……………………………………..

 

Full Name……………………………………………………………………………………………………………………...

 

Address…………………………………………………………..…………...……………………………………………….

 

...……………………………………………………………….……………………..Postcode……………………………..

 

Tel No(s)……..……………………………………………… e-mail ……………..…………………………………………

 

Date of Birth………………………………Occupation ……………..………………………………………………………

 

ANSWER THE FOLLOWING QUESTIONS AS COMPREHENSIVELY AS POSSIBLE (a separate sheet can be used if required).

 

1.  Do you consider your standard of health and fitness to be (circle or underline) :      POOR / FAIR / GOOD / EXCELLENT 

    

2.  Detail any medical conditions, allergies, disabilities, moral or religious issues that may affect you on the course:-

If None, write NONE
 

3.  Note below any special dietary requirements, e.g. allergies, intolerances, vegetarian, Halal, Kosher etc
If none, write NONE

 

4. Detail any medications you are currently taking or plan to bring with you:-

If none, write NONE


 

5.   What experience do you have of outdoor adventure/survival skills training, i.e. individual skills, courses, schools, organisations, books, TV etc? - If none, write NONE

 

 

6.   Note below the name and telephone number of a person we can contact on your behalf in an emergency

 

      Name…………………………………………………….  Telephone No(s)………………………………………………….

(a)  A cheque in settlement of the course fee of £                is attached made payable to The UK Survival School Limited

(b)  You may debit by MasterCard, Visa, Switch or Solo for the sum of £               as detailed below
(c)  My course fee has been/is being paid by another party

Card Type (tick appropriate box)

Mastercard

Visa

Debit / Credit

Switch

Solo

Card Number (16+ digit number across middle)

   

Name (as it appears on the card)

 

Valid from:

Issue No : (Switch / Solo)

Expiry Date:

Security Code (last 3 numbers on signature strip on back of card):

Acceptance of any booking is subject to the UK Survival School Ltd receiving a completed and signed Booking Form with full payment of the course fee.  A separate form is required per person in a group booking – please contact us if you require additional forms.  A receipt and detailed directions to our course meeting point will be issued with confirmation of your booking.

 

Whilst the UK Survival School is dedicated to the safety and enjoyment of their clients and endeavours to ensure that all activities are operated to a very high safety standard, there is always a small element of unforeseen risk.  Anyone wishing to take part in an activity operated by the UK Survival School does so at their own risk and will not be forced into doing something they are not comfortable with.

 

Declaration:  I confirm that all the information given is true and correct, I have read, understand and agree with the booking Terms & Conditions and I accept that there is a small element of risk in the activities I am undertaking.

 

Signed…………………………………………………………………… Date…………………..……….………………..

Complete and return at least 7 days prior to your course date to:-

The UK Survival School Ltd, 99 East St, Hereford HR1 2LW

Tel: 01432 376751  e-mail: info@uksurvivalschool.co.uk / website: www.uksurvivalschool.co.uk

The UK Survival School
Booking Terms & Conditions

Bookings: Bookings do not hold firm until a completed and signed Booking Form together with the full course fee has been received by the UK Survival School Limited (hereinafter referred to as “the Company”). The Company reserves the right to decline bookings without explanation.

Age: Course participants (hereinafter referred to as “you”) must be at least 9 years (Essentials for Young People) and accompanied by a legal guardian - 18 years (All other Courses and Expeditions) of age at the course commencement date

Vouchers: Vouchers are non-refundable and non-transferrable. If dates are not chosen at the time of booking, vouchers are only valid for 12 months. Deposits are not accepted on voucher bookings and you will be required to pay the full course fee.

Deposits & Fees: Non-refundable deposits as specified in the relevant course/expedition details are accepted with full payment due 8 weeks prior to the course/expedition commencement date (hereinafter referred to as “the commencement date”). If you fail to pay the balance 8 weeks prior to the commencement date the Company reserves the right to treat your booking as cancelled. The full course/expedition fee is required for any booking made within 8 weeks of the commencement date.

Credit/Debit Card Payments : If you choose to pay the deposit by Debit or Credit card the relevant amount will be deducted on receipt of your Booking Form with the balance, if not already paid, automatically deducted 8 weeks prior to the commencement date.

Alterations & Cancellations by you: If you cancel or change the course/expedition date, for whatever reason, you must do so in writing and the following charges will apply:-
· More than 8 weeks prior to the commencement date: No charge less deposit
· Within 4 to 8 weeks of the commencement date: 75% Charge on full course/expedition fee
· Less than 4 weeks prior to the commencement date: 100% Charge on full course/expedition fee

Alterations & Cancellations by the Company: Whilst every attempt will be made to ensure that the courses actually run, the Company reserves the right to vary or cancel any courses should this become necessary, i.e. due to dangerous or unsuitable conditions. In the most unlikely event of cancellation by the Company, an alternative course date will be offered or monies will be refunded in full.

Insurance: The Company has secured Combined Liability Insurance with a reputable Outdoor Activities Insurer. A copy of the Company’s insurance certificate can be provided upon request. Any claims arising as a result of the actions of the Company or its staff should be addressed to the Company in writing giving full details of the basis of your claim.

Fitness: A general standard of fitness is required. If you have a medical condition, you are strongly advised to seek your doctor’s advice. Information given to the UK Survival School will be strictly confidential. The Company cannot be held responsible for any illness or injury caused as a result of an ongoing medical condition and/or poor standard of health & fitness. Should the Instructor consider you to be unfit you will not be admitted on to the course and will not be entitled to a refund.

Agreement: The Company operates a Risk Assessment Procedure as set out by the Health & Safety Executive guidelines. The information provided by you in the Booking Form is an integral part of this process and the Company cannot be held responsible for any illness or injury brought about or exacerbated by non-disclosure or embellishment of an existing medical condition, disability, allergy, illness or injury.

Codes of Conduct

Punctuality: You must make adequate travel arrangements to arrive in time for the start of the course, as stated in the course itinerary. If you are late for whatever reason you will miss the course and you will not be entitled to a refund or alternative course date.

Behaviour: The Company will not allow the behaviour of any one individual or group to jeopardise the safety or enjoyment of course participants or Company staff and if you are found to be doing so, you will leave the course. Alcohol and illegal drugs are strictly prohibited on the course and if you are found to be in possession of alcohol or drugs, or to be intoxicated, you will leave the course.

Safety: You must comply with the safety regulations and instructions of the Company’s staff. Should an Instructor find that you are jeopardising the safety of others, then you will leave the course and will not be entitled to a refund. Should you fail to adhere to kit list and/or safety instructions issued by staff members, the Company cannot be held responsible for any resulting illness or injury.

Equipment: You are responsible for the company’s equipment, issued to you during the course, and will be liable for loss or breakage. All equipment must be handed back in the same condition it was given to you. A full kit list of what you must bring with you is clearly stated in our itineraries, and in the directions issued to you prior to the course. If you do not adhere to the kit list and the Instructor considers that you are ill-equipped, you will not be admitted on to the course and will not be entitled to a refund.

Personal Belongings: You are responsible for your personal belongings and equipment. The Company cannot be held responsible for any loss or damage to your personal belongings caused as a result of your own negligence or theft by another party.

Country Code: You must respect the environment being utilised throughout the course. The Company will not be responsible for any damage or destruction caused to the countryside or buildings or livestock thereon due to your neglect or actions. If you are found to have caused, or are behaving in a manner likely to cause, such damage or destruction, you will leave the course without refund and may also be liable for compensation to the owner of such land or property. You should also note that you will not kill any animals on any of our courses – animals, fish and poultry are provided dead by local suppliers and you will be shown how to prepare and cook them.

Copyright: All information provided and presented by the Company is protected by copyright and other intellectual property laws. You may not reproduce, copy or transmit, in any form or by any means, electronic, mechanical, recording or otherwise, without the prior written permission of the Company.

The UK Survival School, 99 East St, Hereford HR1 2LW

Tel: 01432 376751 / e-mail: info@uksurvivalschool.co.uk / website: www.uksurvivalschool.co.uk

 

Copyright 2001-2008 © - The UK Survival School Limited - All rights reserved