Your Name:
Group Name:
Address:
Current Client?	Yes No
Contact number (Preference):
Contact Number (Secondary):
Email Address:
How Did you find out about us?
Activity Information
	General
	Surf Lessons
	Kayaking
	Snorkling
Tick as many as applicable.	Mountain Biking
	Life Guarding
	Bodyboarding
	Hiking
	Other.
Number of participants	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 more
Number of staff attending	1 2 3 4 5 6 7 8 9 10
Date of Activity:	day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Month January February March April May June July August September October November December 2008 2009
Any other information

If you have any questions regarding the booking process please feel free to contact Ash on
Mobile: 0412 852 219 or email at our contact page.