Welcome to Kirkham Twinning Association
Visit to Ancenis/Bad Bruckenau (delete as applicable)
Dates:
Those travelling
Names of adults travelling:
Names and ages of children travelling
Contact Address .
Contact Telephone number
Transport
Mode of transport
Whilst we do not offer a travel booking service, do you require assistance with directions to either venue? (Yes/No). If you do, please contact Norman Harris tel: 01772 683827 or norman@electraglide.freeserve.co.uk
Accommodation
If youve been before:
I/We will make our own arrangements with a local family or hotel
Local family Name
Local family address
Name and address of hotel
If youve not been before or wish to change your accommodation arrangements
Do you wish to stay with a local family? (Yes/No/Dont know anyone)
Preferred family .
Do you want us to suggest a local family? (Yes/No)
To enable us to place you with the appropriate family, how would you rate your French/German language skills? (none/basic/good/fluent)
Do you want information about local hotels? (Yes/No)
Special needs
Do you have any special requirements?
Diet
Allergies
Mobility Problems
Transport requirements
Contact name Signed Date
Please return this form to:
Norman Harris, 31 Oak Lane, Newton with Scales, Preston PR4 3RR
We hope you enjoy your visit!