Day Trip to Rhyl - UKeff FamiliesDate: Wednesday 23rd August 2023 --- Travel from: Oldham โ depart 09.00 --- Travel to: Rhyl --- Return home: return to coach 17.30, depart Rhyl 18.00, return to Oldham approx. 20.30 1Booking Name2Group Members3Consents and Details4Total and PaymentDetails of Lead AdultName and contact details of the adult making the bookingName *FirstLastMobile Phone *Email *EmailConfirm EmailEmergency Contact Name *Emergency Contact Phone *NextDetails of AdultsComplete the details for all adults (age 18+ years) in your bookingTotal number of adult tickets required (ยฃ10 per ticket) *123456Please select the number of tickets for the total adults in your booking - including the LEAD ADULTBooking name *This is the name of the LEAD ADULTMobile *Adult 2 name *Adult 2 mobile *Adult 3 name *Adult 3 mobile *Adult 4 name *Adult 4 mobile *Adult 5 name *Adult 5 mobile *Adult 6 name *Adult 6 mobile *Details of Child/ChildrenComplete the details for the child/children (age 0 - 17 years) in your bookingTotal number of child tickets required (ยฃ5 per ticket) *0123456Please select the number of tickets for the children in your booking.Child 1 Name *Date of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 2 Name *Date of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 3 Name *Date of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 4 Name *Date of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 5 Name *Date of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child 6 name *Date of Birth *DD12345678910111213141516171819202122232425262728293031/MM123456789101112/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PreviousNextParental/guardian responsibility: *I acknowledge that UKeff is unable to take responsibility for the care of any children who I bring with me on this outing. It is the full responsibility of me (the parent/guardian) for the care of and observation of any child/children accompanying me. My child/children will not be left unattended at any time, including toilet visits. Check box to confirmAllergies: *I understand that I am responsible for informing the UKeff staff of any allergies that I have, or my child/children has. Check box to confirmDo any members of your booking have an allergy? *NoYesFor example, nut allergyPlease enter the name(s) and details of the person(s) with an allergy *Medicine: *I understand that I am responsible for informing the UKeff staff of any medical conditions that I have, or my child/children has. I take full responsibility for the administering of any medicines. Check box to confirmDo any members of your booking have a medical condition? *NoYesPlease enter the name(s) and details of the person(s) with a medical condition, including any required medication. *For example, asthma, travel sickness, heart condition.May we add you to the WhatsApp group for the trip? *YesNoUpdates for the trip will be sent to the WhatsApp group in the weeks before the trip date and on the day of the trip.DATA PROTECTION & CONFIDENTIALITY:Your details will be kept in accordance with the Data Protection Act 1998.PreviousNextTotal *£ 0.00Total cost of tickets for your booking. Payment due immediately to secure seats.PreviousNameMake payment
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