Xtreme Gap Booking Form

For more information or help with your booking please talk to one of our advisors:

CALL US:

UK: (0044) 0203 286 7065

NL: (0031) 0628 402 945

Please proceed to your chosen program page and Pay online or place deposit. Your Booking will not be processed until payment has been received.

After payment you will be directed to the travel insurance page where you can fill out your details*

You must agree to the terms and conditions to complete your booking. Tick to confirm.

Download Liability release

Please complete ALL of the details below and press submit to email us your application.

Section1: Personal Details

Section2: Contact Details

Relationship to you:

Section3: Program Details

I hereby confirm that the information provided above is correct to the best of my knowledge. I have read, understood and agree to the terms and conditions provided on the Xtreme Gap website. I understand that if I am under the age of 18 at the point of application I must get my legal guardian or parent to agree to the terms and conditions before submitting my application.

Text Box: Payment: You must now place a holding deposit of €250 (if booking more than 12 weeks in advance) or alternatively pay in full. We will hold your booking form for 7 days. Please place deposit or pay in full during that period.

Text Box: FULL TRAVEL INSURANCE INCLUDED!* * Certain country restrictions apply