Essex booking form preview

First name *

Last name *

Email *

Mobile Number on which you will be contactable on day of travel and during trip *

Do you want to add another MPG member to this booking? *

Yes
No

Person Two

Second person first name *

Second person last name

Room Preference

Double
Twin
Singles

If you are travelling alone and would like to share a twin-bedded room with another member please indicate, including any special requirements, for example "non-smoker only".

Do you want to join a group coach pick up at Colchester Station on Sunday 25 June ? *

Yes
No

Do you need transport to Colchester Station at lunchtime after the garden visit on Thursday 29 June ? *

Yes
No

Will you and/or second person be attending from outside the UK? *

Yes
No

Please provide the name of your insurance company, your policy number, and the emergency telephone number from your medical insurance policy: *

Any medical condition the organisers should be aware of? *

Yes
No

Please list medical conditions: *

Any dietary restrictions? *

Yes
No

Please give details of dietary restrictions

Name of family member/friend to contact in emergency *

Family/friend contact number(s) *

Please include a mobile if possible

Second person emergency contact details if different

In accordance with the Terms, all participants on the trip must be fully vaccinated. Are you fully vaccinated against COVID-19, including obtaining the booster if eligible? (If you are not vaccinated, please email the trip organiser for further information.) *

Yes
Not yet, but I commit to being at least two weeks before the event

Please indicate how you will be making payment *

Bank Transfer
Cheque

Terms and Conditions *

I/we confirm that we have read and understood the Essential Information and Terms *

> View Terms and Conditions