Activities Booking Form

Please complete the form below to book the day or evening activities you require. Please note that some outside activities may be restricted by daylight hours...

Name of group or organisation:

Booking reference: or if evening booking type EVENING

Dates of stay at Paccar Chalfont Heights:
Arrival date:	Departure date :

Activity #1:
Day:
Time:
Duration:

Activity #2:
Day:
Time:
Duration:

Activity #3:
Day:
Time:
Duration:

Activity #4:
Day:
Time:
Duration:

Activity #5:
Day:
Time:
Duration:

Approximate number of people taking part:

Please tick below if you have your own qualified instructors for:

Climbing Wall	Name:
	Qualification:

Archery Range	Name:
	Qualification:

Airsoft Rifle Range	Name:
	Qualification:

Misc	Name:
	Qualification:

Name:

Telephone number:

Email address:

Chalfont St. Peter

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