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The trips and flights shown are ATOL protected by the Civil Aviation Authority. Our ATOL number is 5636. Protection extends primarily to customers who pay and book in the United Kingdom. Click on the ATOL logo for more information. Being ATOL bonded gives the charities we work with, and the people raising money for them, peace of mind.

Tel:
01722 718444

Email Us

Book Online!

Please fill in the form below and click on the 'Register' button to send it.

Please make sure you read a copy of our Open Challenge Agreement before booking.

Registration Form
Please complete all sections of this form.
Challenge Trip Name:
Dates (please include the year):

Payment Options
If you plan to fundraise, regardless of which Payment Option you are taking, we are obliged to let your charity know. They may wish to contact you themselves to give you help and advice, and to ensure you are fundraising within their guidelines.

Please fill out fields for "Fundraising Option" OR "Payment Option" as appropriate and do so in full to help us confirm your place as soon as possible:
Fundraising Option:
I will be raising money for:
Charity Name:
Charity Tel:
Charity Fax:
Charity Address:
Charity Contact (if you've already contacted charity):
Payment Option:
I will pay my own tour cost and am not raising money for a charity
I will pay my own tour cost but still intend to raise money for
Charity Name:
Charity Tel:
Charity Fax:
Charity Address:
Charity Contact (if you've already contacted charity):

1. Personal Details
Title:
Forename:
Surname:
Name by which you like to be known:
Gender:
Address:
Home Tel:
Work Tel:
Mobile:
Email:
I agree to my contact details being given to my fellow participants:
T-Shirt size:

2. Dietary Requirements
Do you have any special dietary requirements / food allergies?:
Vegetarian
Nut Allergy
Gluten Free
Other  

3. Passport Details*


Please send a photocopy of the photo page of your passport within 2 weeks of submitting this form.
Name (as it appears on Passport):
Date of Birth:
Age at time of Challenge:
Passport Number:
Place of Birth:
Issue Date:
Expiry Date:
Place of Issue:
Nationality:
Occupation:
*Please note that your passport must be valid for at least 6 months after your return. If you do not currently have a valid passport, please send us this registration form and forward your new passport details through as soon as they are confirmed.

4. Next of Kin/Emergency Contact*
Name:
Relationship:
Address:
Postcode:
Daytime Tel:
Evening Tel:
Mobile Tel:
*Please give details of the person you would like us to contact in case of emergency. This should not be someone who will be on the challenge with you.

5. Accommodation
Accommodation will be shared (usually twin-bedded) single sex rooms/tents. Please let us know if there is somebody else on the trip you would like to share with. We will try to accommodate your request, however it cannot be guaranteed.
Share with...:

6. Registration Payment
Payment can be by cheque (payable to 'Discover Adventure Ltd') or we can phone you back to take payment by credit card.
NB: This is non-refundable and is used to secure flights/ground arrangements on your behalf. The registration fee is not included in the amounts given for fundraising target or tour cost.
I have sent a cheque made payable to Discover Adventure Ltd
I would like Discover Adventure to phone me to take my payment by credit card and my preferred phone number is:
NB: All fundraising monies must be paid to the charity you are supporting.

Declaration and Registration
I confirm that all of the information provided by me on this form is to the best of my knowledge true and correct. I understand that if any of the information provided by me on the form is found to be false, I risk losing my place on the Discover Adventure Challenge.

By clicking 'Register' below and submitting this form I agree with the Open Challenge Agreement.
For security reasons, please type the following code into the box to the right: gddto
 

© 2006 Discover Adventure Ltd
Throope Down House, Blandford Road, Coombe Bissett, Salisbury, SP5 4LN
01722 718444 (+44 1722 718444 outside the UK)
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