Your name * Your contact telephone * Your email address * School name * School contact telephone * School Email Address * School email must be different to your email Name of group leader whilst in the UK Group leader tel no. (whilst in the UK) Activity Date Activity Time 10am - 1pm 1pm - 4pm 2pm - 5pm 10am - 4pm Number of students Activity Location Belstone Haytor Postbridge Princetown Do you want your walk to be themed on any specific subject? Have you any other information you wish to tell us? I confirm that the participants undertaking this activity all have a medical consent form signed for them by an appropriate person if they are under 16 or in person if over 18, and that they are medically fit to undertake this activity. Those declarations have been retained by either ourselves or the group and are available for inspection should any incident arise as a result of taking part in this activity. Please click on the icon to confirm before proceeding. * Please check to confirm you agree with the above statement Please check the following I am happy that my personal date including name, email address and phone number be stored and used by Moorland Guides to only facilitate this activity by themselves or a partner If you are human, leave this field blank.