Please complete the form below. You can either email the form and post the deposit cheque separately or print and return to Blue Peris along with your cheque.

Contact Name*
Address*
Town*
County*
Postcode*
Telephone (Day)*
Telephone (Evening)*
Email*
Organisation  (If booking for a group)
Number in Group*
Number in Group (Male)
Number in Group (Female)
Type of Group*	Adults   Under 18's   Family
Arrival Date & Time*
Departure Date & Time*
Purpose of the Booking:*  (eg recreation, family  holiday, course)
Instruction Required in:  (please indicate full  or half day)
Equipment Required:  (please indicate numbers  and sizes)
Please find enclosed (or sent separately) a non returnable deposit of 50 percent to confirm my booking.*  I understand that the balance will be payable on arrival.*  * Denotes sections that must be completed.