Additional Booking Information (Action Required)

Please complete this form to confirm your booking and help us prepare the cottage safely. Required fields are marked *.

By submitting this form, the lead guest confirms they have read and accept the Our Bench Terms and Conditions of Booking and Access Statement.

Booking details

Lead guest contact details

Please avoid obvious sequences like 0000 or 1234.

Guest details (legal requirement)

For each guest aged 18 or over, please provide a residential address and contact number or email.

Allergies or essential information

Additional equipment requests (with safe working loads)

Tick what you need. All our equipment is subject to availability and allocated first-come, first-served. Use is at your own risk and within safe working loads.

If you are not sure what the equipment is we have described - we recommend opening Our Equipment in a new window, this will show you photos of our actual equipment, any safe working load details (SWL) and essentials such as measurements - and lots of additional details - as some pieces of equipment have more than one name.

Patient mobility

These items are designed to aid mobility and are not for use in the shower - our shower chairs are in our wet room section.


Patient handling


Wet room


Kitchen


Lounge


Bedroom


Height adjustable profiling bed notes: In Bench Cottage it is the left-hand bed nearest window. Garden Bench the right-hand bed furthest from window. Little Bench the left-hand bed nearest window. All beds are twin as standard.
If you would like a King in the Master bedroom of Little Bench or Bench Cottage or either bedroom of Garden Bench - please let us know in the booking notes - it will be made up with 2 single beds next to ear other and one king duvet.

Pets / service dogs


We confirm that we have read and accept the Pets and Assistance Dogs section of the Our Bench Terms and Conditions. Pet dogs are welcome in Garden Bench only, by prior arrangement and with the published pet fee. Assistance dogs are welcome in all three cottages and the pet fee is waived. Please tell us when booking so we can prepare appropriately. A £100 fee per week applies for pet dogs.
Dogs must not be left unattended or allowed on furniture.

Additional information

Declaration and confirmation

Privacy: We collect this information to manage your booking and prepare the cottage safely. Please read our privacy policy.