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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 A
Title
Name
Address
Postcode
Phone
Email
Date of Birth
(dd/mm/yy)
Nationality
Where did you hear about us?
   
Course Details  
Course required
Preferred Date(s)
Sailing Experience
(if any)
RYA Qualifications
(if any)

 

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.

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.

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By clicking the Agree & Submit button you are confirming that you have read and accepted the Booking Conditions.
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