Booking Form
- print out, complete and send with your deposit to:
AQUA NARROWBOAT HIRE, 6 Old Hall Drive, Willington, Derbyshire, DE65
6DT.
Please make cheques payable to Aqua Narrowboat Hire.
HIRER DETAILS
Name
Address
Postcode
Tel (day)
Tel (eve)
Mobile
E-mail
Previous narrowboating
experience (if any):
Buoyancy Aid Required?
Weight if YES
PLEASE RESERVE NEW 4/6 Berth* - H3O
2/4 Berth*
(*delete as applicable)
Start date:
______________ at 3/4 pm
End date:
______________ at 9/10 am
CREW DETAILS (OTHER
THAN HIRER)
1
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
2
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
3
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
4
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
5
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
Number of Pets
(Please add £20 per pet per week to hire fee.)
SKIPPER
(If not the main Hirer above)
Please indicate which member of the crew will receive tuition &
boat walkthrough on the day. This person will be responsible for
the safety of both the crew & boat.
Name:
VEHICLE DETAILS (Maximum of two per boat)
1
Make:
Model:
Reg. No.:
Colour:
2
Make:
Model:
Reg. No.:
Colour:
PAYMENT DETAILS (Cheques payable to Aqua Narrowboat Hire)
Week One
£
Week Two
£
Including 10%
discount for June/July/August or 15% at all other times.
Pets
£
£20 per pet
per week.
Total
£
20% Deposit
£
To be returned
with booking form.
Balance + Damage
Waiver
£
To be paid at
least six weeks prior to holiday. Non-returnable Damage Waiver
of £30 required or £150 security deposit for winter bookings
only.
HIRER'S STATEMENT
I
am over 21 years old I
have read and agree to abide by the
Conditions of Hire. I
agree to the named ‘Skipper’, if not myself, to receive tuition &
boat walkthrough. I understand that the ‘Skipper’ will be
responsible for the safety of both crew and boat. The
‘Skipper’ has also read the Conditions of
Hire. I
understand that personal holiday Insurance is not provided by Aqua
Narrowboat Hire. I
agree not to carry any other persons than those named on this
booking form. Please note: We do not take bookings from all male or female
parties without prior consent.
Signed
Date
Marketing Information – Where did you hear about us?
Please tick.
Internet:
Google
Canal Junction
Other (please
state)
Other:
Waterways World
Tourism Board
Marina
Recommendation
Other (please state)
AQUA
NARROWBOAT HIRE 6 Old Hall Drive
Willington
Derbyshire
DE65 6DT
TEL & FAX 01283 704855
Email
admin@aquanarrowboathire.com
I
am over 21 years old 