Booking Form
 
Name of Group / Organisation: Group Leader / Contact Name:
Address:

Telephone: E-mail Address:
Dates Required: From To

Num of Group Members: Male Female

Arrival: Day Time Average Age of Group Members:
Departure: Day Time Num of Group Leaders: Male Female
Special dietary requirements:
Medical histories or illnesses we should be aware of:
(please specify medications etc.)

Deposit:

€


Please forward on your deposit to the following address in the form of a personal cheque, bank draft or postal order in order to secure your booking (In the event of late cancellation this deposit is non-refundable):
LILLIPUT ADVENTURE CENTRE, Lilliput House, Lough Ennell, Co. Westmeath.

Please read the terms and conditions below before sending the form
I agree that on acceptance of this application that this group will under the guidance of our leaders co-operate with the rules and regulations as laid down by the staff and instructors of Lilliput Adventure Centre.
 I also hereby agree to release Lilliput and or its representatives from any and all liabilities in respect of personal injury loss or damage, unless such injury loss or damage is the result of negligence on the part of Lilliput and or its representatives.