Online Booking Form Title Mr Mrs Miss Ms Dr Name * First Name Last Name Email * Course * RYA Level 1 Start Powerboating RYA Level 2 Powerboat Handling RYA Dinghy Sailing Level 1 - Start Sailing RYA Dinghy Sailing Level 2 - Basic Skills RYA Dinghy Sailing Level 3 - Better Sailing RYA Dinghy Start Racing RYA Dinghy Sailing with Spinnakers Private Sailing Coaching Address * Date of Birth * Can you Swim 25m? * Yes No Medical Declaration * I declare that to the best of my knowledge, I am fit to participate in this course * Yes No Emergency Contact Name * First Name Last Name Emergency Contact Phone * (###) ### #### I have been made aware of, and accept the Booking Conditions * Yes No Thank you, we will look forward to getting on the water with you soon!
