Mobile Climbing Wall at QCW Information Form – Mersey Weaver

QCW Mobile Climbing Wall Hire Agreement Update

"*" indicates required fields

Booking update

Thank you for booking our mobile climbing wall.

Please use this form to advise us of your qualified instructors who will run the wall for you.

Need help with your booking? Email or phone 01928 352132

Your Name*

First Last

Booking ID*

This will have been sent to you in the original order confirmation email or you can find it in your account order history

Qualified Instructors

Are you part of UK Scouting or an external organisation?*

UK Scout Association

Other organisation

Do you know who the qualified instructor(s) will be?*

The wall is dry hire and does not come with instructors.

Yes

You must provide details of who the instructor(s) will be at least two weeks prior to your booking. You can do this at a later date here

Name of Climbing Wall Permit Holder*

You must supply the name(s) of the the Leader/Supervisor who will be present for the full session that the Climbing Wall will be in use

First Last

Membership #*

Please provide the permit holder’s membership number

Name of Qualified Climbing Wall Instructior*

You must supply the name(s) of the the Leader/Supervisor who will be present for the full session that the Climbing Wall will be in use

First Last

Instructor's Qualification*

Your NGB Award https://www.mountain-training.org

Additional Permit Holders

Please supply the names of any other permit holders and their membership numbers who will be leading/supervising the wall.

First

Last

Membership #

Additional Instructors

Please supply the names of any other individuals and their qualification who will be leading/supervising the wall.

First

Last

Qualification

Do you require training/assistance to setup the wall?*

Yes

Agreement

By making this booking you agree to abide by all legal and safety requirements

Privacy*

By using this form you agree with the storage and handling of your data by Mersey Weaver District Scout Council and it’s subsidiaries.

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Phone

This field is for validation purposes and should be left unchanged.

QCW Mobile Climbing Wall Hire Agreement Update

Booking update

Qualified Instructors

Agreement

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