Xplorer Online Booking Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This information will be stored for 3 years after which it will be destroyed. You can however request to have your details removed at any time.

For more information on our privacy information visit www.whitehorsedc.gov.uk/about-us/how-we-work/contact-us/data-protection

Name *

Telephone Number *

Email *

Date of Event *

YYYY

Location of Event *

Number of Adults in Group *

Number of Children in Group *

Before attending please confirm that you agree to all the following: *

You are taking part in the activity at your own risk.

Children under 16 must be supervised by a parent/guardian and cannot take part on their own.

You have read our COVID-19 precautions highlighted in our email confirmation and adhere to these at the event. (https://tinyurl.com/COVIDPrecaution)

Required

NB Contact information will be used for track and trace if required and may be passed to a third party for this purpose *

By ticking this box you are confirming that you will not attend the activity if you and your household members are displaying any symptoms of COVID-19 or have come in to contact with anyone that has shown symptoms

Required

We would like to be able to send you details of activities that might be of interest to you. GO Active and Vale of White Horse District Council will also use your information for monitoring and evaluation in accordance with the General Data Protection Regulations 2018. Please tick below if you are happy for GO Active and Vale of White Horse District Council to contact you with information about activities which might be of interest to you and for monitoring and evaluation purposes. *

Yes via Email

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms