Home What’s On Offer Facilities Activities Personal Skills & Coaching Awards Training Summer Camps ’24 Information Booking 2024 School Tours ’24 Information Gaisce Awards Prices Contact Upcoming Events Contact & Location Newsletter Contact Us Form Read Reviews Write A Review Home 5 School Tours 2024 5 Booking 2024 School Tours 2024 Booking Form "*" indicates required fields Step 1 of 8 - Group Leader / Main Contact Details 0% Name* First Name Last Name Email Address* Mobile Number*In the format of e.g. 086 123 4567 Name of School* Number of Male Teachers* Number of Female Teachers* Number of Male Pupils* Number of Female Pupils* Average Age of Group Members* Estimated Arrival Date* DD slash MM slash YYYY Estimated Arrival Time* HH : MM AM PM AM/PM Estimated Departure Date* DD slash MM slash YYYY Estimated Departure Time* HH : MM AM PM AM/PM Any Group Special Dietary Requirements We Should Be Aware of: (e.g. Allergies etc.)*Please Select An OptionYesNoGroup Special Dietary Requirements: (e.g. Allergies etc.)*Any Group Medical History or Illnesses We Should Be Aware of: (Please Specify Medications etc.)*Please Select An OptionYesNoGroup Medical History or Illnesses: (Please Specify Medications etc.)* Please forward on your deposit to the following address in the form of a personal cheque, bank draft or postal order in order to secure your booking (In the event of a late cancellation this deposit is non-refundable): Lilliput Adventure Centre,Lilliput House,Lough Ennell,Co. Westmeath.N91 W97W(087) 810 6951 / (085) 806 0681info@lilliputadventure.comDo You Agree to the Above?* Yes, I Agree At Lilliput Adventure Centre all of our instructors will endeavor to make sure that your group have a fantastic stay with us in a very safe, friendly and fun filled manner. However it is important for you as a teacher to realise and be aware that their is an element of risk in all outdoor activities. During your stay here your group will encounter: heights, water, rough terrain, mud and situations that they may not be used to, depending on the weather. We would ask you as a teacher to make us aware of any medical conditions that may be of concern to us. We would especially be concerned about diabetes, epilepsy, anaphlaxia, brittle bone syndrome and asthma. You making us aware of these conditions will not prevent anybody from taking part in activities it will merely help our instructors to be more vigilant. We would also ask you to ensure that the people in your care bring the medications that they require. Thank You,Franky WrightManagerDo You Agree to the Above?* Yes, I Agree Please read the terms and conditions below before sending the form: I agree that on acceptance of this application that this group will under the guidance of our leaders co-operate with the rules and regulations as laid down by the staff and instructors of Lilliput Adventure Centre. I also hereby agree to release Lilliput and or its representatives from any and all liabilities in respect of personal injury loss or damage, unless such injury loss or damage is the result of negligence on the part of Lilliput and or its representatives. Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19 The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, government and state health agencies recommend social distancing. Lilliput Adventure Centre has put in place preventative measures to reduce the spread of COVID-19; however, Lilliput Adventure Centre cannot guarantee that you will not become infected with COVID-19. Further, attending Lilliput Adventure Centre could increase your risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending Lilliput Adventure Centre and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Lilliput Adventure Centre may result from the actions, omissions, or negligence of myself and others, including, but not limited to, employees, instructors, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I may experience or incur in connection with my attendance at Lilliput Adventure Centre. On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Lilliput Adventure Centre, its employees, instructors, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Lilliput Adventure Centre, its employees, instructors, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any of Lilliput Adventure Centre programs/events.Do You Agree to the Above Terms & Conditions?* Yes, I Agree Privacy Policy* I agree to Lilliput Adventure Centre's Privacy Policy By submitting this contact form you confirm that you have read and understood our Privacy Policy. Summary {all_fields:nohidden}reCAPTCHAEmailThis field is for validation purposes and should be left unchanged.