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Start Date:
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End Date:
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RYA Adult Course
*
Level 1
Level 2
Level 3
Seamanship
Start Racing
Select Membership
*
ASCSS team member (not available for Level 1)
Avon Scout County member
Guides, charity or other Scouts group members
Member of public
Booking by
*
Email
*
Phone
*
Address
*
Participants Name
*
DOB
*
Swim 50 meters
*
Yes
No
Sailing experience if any,:
*
(please add approximate dates when filling in information)
National Health No
Any allergies
*
Additional needs
*
Please give details if any extra help might be needed
1st Emergency contact name
*
1st Emergency contact number
*
2nd Emergency contact name
2nd Emergency contact number
Consent
*
Yes, I agree
I have noted the arrangements and give permission for the above named to participate in the activity(ies) arranged. If it becomes necessary for the participant to receive medical treatment and the emergency contacts cannot be reached to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the Leader-in-charge to sign any documents required by the hospital authorities. I will also notify the organiser if there is a significant change in health which might affect the participants ability to complete the course.
RYA Advanced Sailing book
*
Recommended for Level 3
0 books
1 book
Total Price
Please select a date first.
Payments
*
Bank Transfer (preferred) or cheque
Transfer money from your bank account.
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