Copt Oak – Last Fling Rally 2023 Booking Form

Copt Oak - Last Fling 2023b
First Name (required)

Last Name (required)

Your Email (required)

Telephone number (required)

Type of contact (drop down to select) MobileHome

Membership number (required)

Vehicle Registration (required)

Registered Centre (select) LeicestershireDerbyshireEast WarwickshireLincolnshireNottinghamshireOther

If other, specify name

Outfit type (select) —Please choose an option—CaravanMotorhomeTrailer tentTent

Is this your first rally? (select) NoYes

No. of Adults 18+ (select) —Please choose an option—123456
No. of Teenagers (select) —Please choose an option—0123456
No. of Children 7-12 (select) —Please choose an option—0123456
No. of Ages Under 6 (select) —Please choose an option—0123456
No. of Social tickets Req (select) —Please choose an option—0123456789101112
Further information: (late arrival,dietary needs etc)

I agree to the release of my personal data to any person with reasonable cause to require it in connection with my booking

I agree to the following conditions of booking:
I agree to be bound by the rules of the centre

I accept that Photography/videography may be taken at Centre’s events and rallies. The Centre and Club may use any photograph(s) and/or video(s) they take that includes you, your party and/or outfit in all and any media, including printed and electronic publications, e.g. websites, or promotional materials, in the advertising of its goods or services