Tel 01639 893661 Mob 07882 595694
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Please print legibly in CAPITALS
Address.............................................................
...............................................................................
.....................................Post code...............................
Male......Female…. Date of Birth.……./……….../…………...
Home Tel…..…....... ...... . Mob.....................
E-mail............................................
Any allergies or medical conditions................................
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Print name..........................................
Post this form to Afan Valley. 76 Ynys-y-Gored. P/Talbot. SA 13 2 EB
Please read this disclaimer and if you agree sign below.
I agree with the terms and conditions applied by “Afan Valley” to it’s Training, Guiding and Mountain Bike Hire activities. I am a competent rider of this type of Bicycle. I totally absolve Afan Valley and all it’s servants from any liability arising howsoever whilst I am responsible for their bicycle or in their care. I indemnify them for any loss or damage caused. I understand that riding a bicycle is dangerous and I freely accept the liability and all costs arising from injury to myself and third parties. I understand that I should have personal insurance cover. I will test the bike in the presence of the hirer and will ride only when I am happy that it is in good condition.
I understand that components such as Brakes, Tyres and Control Cables will deteriorate whilst riding and accept this inherent danger.
Your Signature......................................................Date...../..../06
What are you booking ........................................................
What date are you booking for.......................................................
For MIAS L1 L2 to reserve your place on a course you must include a deposit of £99
For all other courses and Bike Hire we require a £10 deposit
The easiest way to make a booking is to tel 01639 893661 and pay a deposit using your credit card.