Outdoor Adventures Booking Form
NOTE: This information will be held purely for monitoring & information purposes & to help us ensure that we are meeting the needs of your child & all children.
indicates required fields
Name of child/ren:
Date of birth:
Do they have any type of disability?:
If yes, what is the nature of your child's disability?:
Autism spectrum disorder
Significant complex health
School/College or Early years provider that the child attends:
Parent or Carer name/s:
Contact phone number:
Which date would you like to book?:
C@tch 27th July 2017
C@tch 3rd August 2017
C@tch 15th August 2017
C@tch 22nd August 2017
Gateway card no:
PayPal (click on PayPal icon on booking info pg)
Cheque (made payable to Caterpillar Crafts)
Do you require Care Support?:
Please note cheque payments should be posted at time of booking to Caterpillar Crafts, 57b London Rd, Cowplain PO8 8UJ After filling the details click on the SUBMIT button.
Caterpillar Crafts staff are DBS checked & are covered by public liability insurance.