ENQUIRY FORM

Please fill all fields in this form and click submit button at bottom of page
or use the print button on your browser to print the form, complete and post to Lleyn Adventure Activities,
8 Felin Wen, Millbank, Holyhead, Anglesey LL65 1SJ Payment process: We will contact you to confirm your choice of dates and activity requested. Once these details have been agreed we will request payment using credit/debit card via PayPal or personal cheque. Once payment is received by Lleyn Adventure Activities your booking is secured.
Your Full Name:
(include in the table below if you intend to partake in activities)
Address Line 1:
Address Line 2:
Town:
Post code:
Your Email Address:
Phone No:
Activity title:
Duration:
Proposed Date of activity
Details of group.

Name DOB
dd/mm/yy
Swimming ability Any relevant medical conditions that may affect you while participating in activities
1
2
3
4
5
6
7
8
I have read, understood and agree to the terms and conditions of Lleyn Adventure Activities.(Please tick the box)

Additional information

Some of our activities are dependant on elements beyond our control, i.e. weather, sea conditions and water levels. Occasionally activities will need to be rescheduled at short notice, you will always be offered an alternative activity or a postponement if necessary. We will give you as much notice as possible of last minute amendments.


If you do not hear from us within 5 days of submitting this form please ring on 07751 826714