Loading
Riding Lights Make Adventure 2027
9th - 12th February 2027
Booking Form
Participants name
First name
Last name
Email address
Address
House name or number
Address line 1
Address line 2
Address line 3
Address line 4
City
County
Postcode
Home phone
Mobile phone
Date of Birth
Gender / Pronouns
Access Requirements
Please use this box to let us know of any access reqruiements you may have. We will do our best to meet these requirements as far as possible.
Dietary Requirements
Please use this box to let us know of any dietary requirements.
Accomodation Requests
Please use this box to include any accommodation requirements.
OK to contact in any way
Parent/Guardian Name
Parent/Guardian Contact Number
Across the week our staff will take videos and photographs of all activity. This
material may be used in the future for marketing purposes.
Please indicate your permissions below for photo and video capture.
Please note this must be provided by the parent or guardian
Photo permissions
Yes
No
Course Option
11-13
14-16
Accommodation will be mostly in single sex dorms, there are some limited private rooms available
To confirm your booking we require a £50 deposit which is payable by card below. You can pay in full now or pay a deposit now and pay the balance 8 weeks prior to the retreat. If you would like to pay the balance by direct debit please tick below.
Set up a Direct Debit?
If you would like to set up a direct debit for the balance please tick this box and the office will be in touch
Amount to pay
Deposit
Pay in Full
Total amount
£
Pay/Donate method
Please use Card Payment for deposit and full payment. Use Direct Debit to pay monthly.
Card Payment
Submit
Please check the highlighted fields
✔
✘