New Road, Anderton, Chorley, PR6 9HG Telephone: 01257 484220 Facsimile: 01257 484232 Email:info@andertoncentre.co.uk
ACCOMMODATION BOOKING FORM Please complete and return this form to the above address
Arrival Date: Group Name: Group Leader Name: Please note that at least one group leader must be on site at all times to supervise the group Arrival Time: Departure Date: Departure Time:
Contact Telephone Number: Address:
Telephone: Mobile: Age No of Residents Type of Group:
Tick appropriate box
Fax: E.mail: 10-12yrs 13-15yrs 16-18yrs 18-25yrs Over 25yrs Leaders
Education
Youth
Community
Corporate
Other
Special Needs (Use
additional Info box)
Additional Information:
Please state any other information about the group that could affect the safety, welfare and well being of the group, instructors or other clients at the Anderton Centre e.g. emotional, behavioural, physical needs and medical conditions. If you leave this blank we will presume there are no issues.
Catering Requirements: tick relevant box
SELF CATERING
CATERED
*Please complete separate catering booking form
Bedding is collected by you on arrival and is charged at £4 per person, per visit for its laundering. Alternatively clients can bring their own sleeping bags .We require bedding sets for Additional Equipment please tick people
/ We will be bringing sleeping bags for
people
TV / Video OHP Flip Chart Booking Conditions: I/We have read and agree to abide by the booking conditions overleaf. I am authorised to make the booking on behalf of the named organisation
GROUP LEADER SIGNATURE: . DATE:
.
Official use only: Inv. No:
Activity Log:
Catering Log:
AOEAC is operated by Lancashire Outdoor Activities Initiative on behalf of United Utilities. LOAI is a Registered Charity No. 1069324A Company Limited by Guarantee. Registered No. 3539233