Gortin Activity Booking Form

Please fill out the booking form below to book your stay and activities

Group Information

Group Name
Group Name
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Field is required!
Date of Enquiry
Date of Enquiry
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Field is required!
Your First Name
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Field is required!
Your Phone number
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Field is required!
Arrival Date
Select a date
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Field is required!
Departure Date
Select a date
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Field is required!
No of nights stay
No of nights stay
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Field is required!
No of Children
No of Children
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Field is required!
Age Bracket
Age Bracket
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Field is required!
Gender
Gender
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Field is required!
Your Last Name
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Field is required!
Your E-mail Address
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Field is required!
Arrival Time
Select a time
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Field is required!
Departure Time
Select a time
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Field is required!
No. of Leaders
No. of Leaders
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Field is required!
Details of special needs
Details of special needs
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Field is required!

Activity Schedule

(please indicate activities requested)
Number of Participants
Number of Participants
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Field is required!
Activity Day 1 AM
Field is required!
Field is required!
Activity Day 1 PM
Field is required!
Field is required!
Activity Day 2 AM
Field is required!
Field is required!
Activity Day 2 PM
Field is required!
Field is required!
Activity Day 3 AM
Field is required!
Field is required!
Activity Day 3 PM
Field is required!
Field is required!
Activity Day 4 AM
Field is required!
Field is required!
Activity Day 4 PM
Field is required!
Field is required!
Activity Day 5 AM
Field is required!
Field is required!
Activity Day 5 PM
Field is required!
Field is required!

Catering Information

Please detail any Special Dietary Requirements or Allergies?
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Field is required!

Day 1 Times

Breakfast
Select a time
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Field is required!
Lunch
Select a time
Field is required!
Field is required!
Dinner
Select a time
Field is required!
Field is required!

Day 2 Times

Breakfast
Select a time
Field is required!
Field is required!
Lunch
Select a time
Field is required!
Field is required!
Dinner
Select a time
Field is required!
Field is required!

Day 3 Times

Breakfast
Select a time
Field is required!
Field is required!
Lunch
Select a time
Field is required!
Field is required!
Dinner
Select a time
Field is required!
Field is required!

Day 4 Times

Breakfast
Select a time
Field is required!
Field is required!
Lunch
Select a time
Field is required!
Field is required!
Dinner
Select a time
Field is required!
Field is required!

Day 5 Times

Breakfast
Select a time
Field is required!
Field is required!
Lunch
Select a time
Field is required!
Field is required!
Dinner
Select a time
Field is required!
Field is required!

By returning this form you are agreeing to the terms and conditions below. Do you allow pictures of your group to be used in marketing and promotional material? Please tick this box if you agree to this.

Agree
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Please confirm that you have read and agree with our terms and conditions
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Terms and Conditions
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