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Lake District Climbing
Association of Mountaineering Instructors
Contact us / 07956 117773
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First Name
Last Name
Date of Birth
Email
Address
Phone number
Preferred activity ---Introductory Rock ClimbingMulti pitch Rock ClimbingAdvanced Rock ClimbingMountain SummitsScramblingScrambling MasterclassIntroductory Snow & IceWinter MountaineeringWinter ClimbingOther
Preferred activity date
Number of days required (How many days would you like to book for?) ---1234567
Number of participants ---1234567
Additional participant/s name and age
Where will you be staying? (leave blank if unknown)
Emergency contact first name
Emergency contact last name
Emergency contact number
Medical/health conditions (Please inform us of any medical conditions, allergies or injuries)
What equipment do you have
Previous experience/aspirations
How did you hear about LDC
Acknowledgement of Risk
I understand that climbing/mountaineering and related activities have some inherent risks that can never be fully eliminated. In rare cases, injury and even death can occur. Lake District Climbing will take every precaution to minimise the risks involved and will provide an appropriately qualified and experienced instructor/guide. I understand that I must follow their guidance and instructions at all times during the course or activity.
I agree to the above Acknowledgement of Risk statement
The General Data Protection Regulation (GDPR)
I agree that my personal information contained in this form may be stored by Lake District Climbing and will not be passed onto third parties other than the emergency services (in an emergency situation) and instructors/guides working with Lake District Climbing. I understand that I may request for this information to be permanently deleted after my course/activity has ended.
I agree to the above (GDPR) statement
Terms and Conditions / Privacy Policy
I understand that by submitting this form I have read and agree to Lake District Climbing Terms and Conditions including our Privacy Policy.
I accept the Terms and Conditions and Privacy Policy