Step 1 of 6 16% How long would you like to stay?1 Week2 Weeks3 WeeksDate From(Required)Bookings are from 4pm Thursday to 10am the following Thursday. Currently available start dates are highlighted. DD slash MM slash YYYY Consent(Required) I agree to the terms and conditions.(Required) Family name or name of organisation:(Required) Name of the point of contact for this booking:(Required) Billing DetailsName(Required) First Last Address(Required) Street Address Address Line 2 City County Post Code MobileLandlineEmail(Required) Different Lead PersonIf the Lead person differs to the person named above, please include their details hereLead Name First Last Lead Address Address line 1 Address line 2 Town / City County Post Code Lead PhoneLead Email Party MembersPlease include the full name of all other members of your party (if known)How many guests are there within the party in total?Please tell us how many people are carers within your party Guest Names(Required)Would you like a Motor Cruiser Trip at our centre in Neatishead? Yes, I would like the boat trip No, I do not want the boat trip (This is included with your booking, the boat trip will be from our base at Neatishead at 1.30pm on Monday afternoon of your stay). Please meet us at The Nancy Oldfield Trust, Irestead Road, Neatishead NR12 8BJ at 1.30pm on the Monday of your stay. * Please note, if you need to cancel the boat booking please call us as soon as possible 01692 630572 How many people in the group have a disability(Required)Please enter a number from 1 to 6.When planning your visit it is helpful to know how we can best support you. Please tell us here if you have any specific needs, or medical conditions, that may affect your safety on the water.RequirementsIf you require any of the following, please tick (check) each item listed below. Please note there is no additional charge.Requirements 2x Waterproof Pillows 2x Waterproof Duvets Shower wheelchair/commode (tilt-in-space) Height adjustable perching stool Stainless drip stand Urine bag stand/holder Zimmer frame with wheels Manual wheelchair (standard adult size) Child's highchair (able bodied) Manual hoist (slings not provided) Baby intercom Will anyone in your group: be using sharps, swabs or dressings? have a guide/hearing dog? be bringing or using specialist equipment not supplied by us? Details for any specialist equipment: Deposit PaymentDeposit Price: Credit Card Cardholder Name Card Details