(NB - this form is for your information only, a hard copy of the form will be completed in at the time of your booking and sent to you for signature).

SWALLOW BARN, MILL ROAD, WYVERSTONE, IP14 4SE - BOOKING FORM

Please phone us to check your dates and requirements on

01449 782057/07855 040213 (Rosie) before completing this form


Holiday dates   required Arrival Date …................................... Departure Date ……………………….
(check in on Arrival is between 3 and 9pmCheck Out is by 10am on day of departure

I would like to take Swallow Barn for the dates indicated and will be responsible for my party not exceeding
2 persons.  (Please indicate if you are bringing a child <24 months.)  I require a cot and/or a high chair YES/NO (please indicate if requiring one or both of these - there is no charge for this)  

Dogs (number of dogs accepted will be by prior agreement with Owner)

I will be bringing a dog.   

Number of dogs 1,  2,  3 (please circle to indicate) give breed and age of each pet
Dog 1                    Name                                         Age
Dog 2                   Name                                         Age
Dog 3                   Name                                         Age

My dog is a registered assistance dog   YES/NO

Name and Address

Mr/Mrs/Miss/Ms
Address 1
Address 2
Address 3                                                                                              Post Code
Telephone:  Home                                                                               Mobile/Work
Email:

Where have you heard of us?    

*Deposit: (25% of full rental if booking if
8 weeks or more before Arrival Date )                                                                                £________________
*Full Amount (if less than 8 weeks to
Arrival Date)                                                                                                                        £________________
£20 per week   Number of dogs:                                                                                         £ ________________
*Please refer to Terms & Conditions for payment arrangements

Please ensure you have holiday insurance in case of cancellation - please refer to Terms and Conditions under Cancellations for further details.

I have read and accepted the Terms and Conditions (see website) [  ] (please tick the box to indicate)


Signed____________________________________________________        Date    ______________________________________

Please note that these dates can only be held for a maximum of 48 hours until payment of deposit or full payment (where booking is 8 weeks or less to Arrival Date) is received.  Please contact us for bank details to make the relevant money transfer.