BOOKING FORM Country Breaks and Holidays Please call us on 01825 840295 to check availability first for your chosen break. Please read booking information overleaf before completing your form. Please use BLOCK CAPITALS. Name of Event ___________________________________________________________________ Date of Event ____________________________________________________________________ Adult(s) – over 16yrs Title (Mr/Mrs etc) First Name, Surname, Age Group (16-19, 20-30, 31-50, 51-70, 71-80, 81+ ) Title/Full Name
Age Group
Title/Full Name
Age Group
Children/Young People – under 16yrs We ask that children of 11yrs and above share a room and under 11yrs share with parents. State age at time of event. Tea is available for children retiring before dinner – please tick if needed. Name
Tea
Age
Cot
Name
Tea
Age
Cot
Address _________________________________________________________________________ _________________________________________________________Postcode _______________ Tel _________________ Email ______________________________________________________ If you are coming on your own, in case of emergency during the event please give a contact name and phone number ________________________________________________________________ ACCOMMODATION Please refer to tariff and state how many of each type of room you require. Rooms are subject to availability. We will contact you if your choice is unavailable. Single (Shared Bathroom) _____
Twin (Shared Bathroom) _____
Twin Ensuite (Sole Occupancy) _____
Twin Ensuite _____
Family Room (up to 8 people) _____
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PILGRIM HALL IS PART OF CWR CWR is a Limited Company registered in England – Number 1990308 CWR is a Registered Charity – 294387 Registered office: Waverley Abbey House, Waverley Lane, FARNHAM, Surrey GU9 8EP
040215