Kerry Climbing Booking Form

Book your Kerry Climbing adventure here

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Name*

First Last

Group Booking Name (If not booked under a Group, enter surname of person that made booking)*

Email*

Enter Email Confirm Email

Mobile*

Nationality*

Activity date*

Payment amount ( if known )*

Date of Birth*

Current fitness level and any relevant previous experience*

How did you hear about us?*

Emergency contact name*

Emergency contact number*

Medical statement (confidential)*

In the interests of the safety Kerry Climbing Ltd. ask that you do not attend your booked activity if you answer yes to any one of the following statements within the week prior to your booking:

Your co-operation and support are appreciated.

Do you have any of the following typical COVID-19 symptoms; Fever, High Temperature, Persistent Cough, Breathing Difficulties / Shortness of Breath, Loss of Smell / Taste, Runny Nose?

Has public health identified you as a close contact of a confirmed case of COVID-19 and asked you to restrict your movements?

All clients should have an appropriate level of health and fitness for the activity. If pregnant or previously had any medical conditions, please check your suitability for the activity with your doctor. Relevant medical conditions, problems or history which may affect my participation in the activity must be added above.

Medications (if any)*

I agree to accept responsibility for omissions regarding my failure to disclose any relevant existing or past health conditions*

Yes

I confirm I have read and agree to the Terms & Conditions on the KerryClimbing Website:*

Yes

Read our Terms & Conditions here >>

I consent to my submitted data being collected and stored*

Yes

Would you like to subscribe to our newsletter?*

Yes I would like to subscribe to the newsletter

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Name

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