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Sailing Course Booking Form

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Practical Courses - sections A, B and C to be completed.

Theory Courses - please complete section A and C only.

Terms and Conditions apply to all courses.

Section B
Health	I declare to the best of my knowledge I am not suffering from a medical disability such as Angina, Asthma, Diabetes, Epilepsy, giddy spells, or any other heart condition, and am fit to participate in the course. Please tick if you agree, otherwise please give details below.
Illness details (if any)	The listed illnesses do not necessarily preclude you from taking part, but we must have the relevant details. Please detail level of severity and medication received
Swimming	Can you swim 50m with clothing? yes \| no
Special Dietary Needs Please Specify
Emergency Contacts	Name
	Phone
Doctor's Details	Doctor's Name
	Doctor's Phone

Section C - Booking Conditions
	You are strongly recommended to arrange your own Adventure Activity Insurance cover, for cancellation, injury, personal belongings and personal liability as per item 3 of our terms and conditions. Insurance can be purchased via Topsail Insurance
Do you have your own insurance?	yes \| no
	Before booking on any of our courses, please read and understand our booking conditions. Click here to read our Booking Conditions. (opens in a new window)
	By clicking the Agree & Submit button you are confirming that you have read and accepted the Booking Conditions.

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