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# UK Coaching Booking Form

Name: |
Email: |
Address: |
Contact Number: |
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.