New Provisional Booking Form

Data Protection Act 1998. Your contact details will only be used by Hampshire County Council for the purpose specified and will be retained by the Hampshire Mountain Centre for further marketing use. We will not pass your details onto any third parties.

Party leader and organisation details

Name of organisation

Name of person making booking

Address

Postcode

Daytime phone number

Evening phone number

Email

Have you use the centre before. Yes No

Accommodation

Farmhouse (sleeps 22 inc 2 folding beds) Longbarn (sleeps 14), please tick
Annexe (sleeps 10) (Annexe cannot be booked separately), please tick
Birchgrove (Heol Senni) (sleeps 18), please tick

Centre Mini Bus required: (Applicable to 'In County' groups only) Yes No

Number in Party

Boys      Girls
Age range          Male adults        Female adults

Purpose of visit and brief note of proposed activities

Dates Requested

from: to:

Centre requested

These dates will be confirmed by Hampshire Mountain Centre Booking Office, when the appropriate booking form and details will be posted out to you.

Any other comments or special needs