# Fill the form in below to make a booking

Name: |
Address: |
Contact Number: |
Email: |
Do you have a medical condition? | No Yes
If answered yes above, please give details of your condition: |
Course applied for: |
Date & Location: |
Number of participants: |
Maximum number of participants you’d like on your course: |
Name and number of person to contact in case of emergency: |
### Booking conditions: Provisional bookings by phone or email will be reserved for 3 days without payment being made. To confirm your place a 50% deposit of course cost is required at time of booking and the balance is payable before the course starts. You may sign up for a group course but should the group not be filled Jo Wilson Coaching reserves the right to change the course cost to those specified on the website or offer you full money back should you no longer want to participate. To continue with your booking you must agree to the Terms & Conditions If you agree please tick this box: You will not be able to submit the form until you check the above box.

### Payment:

Payment can be made by cheque payable to: Windward Bound Ltd.

Jo Wilson Coaching
33 Fairfield Close
Staveley
Cumbria
LA8 9RA

For alternative forms of payment please contact me at jo@jowilson.com

Confirmation on course will not be made until the deposit is received.

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