RYA Power Boat Booking

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RYA Power Boat Course^*

Level 1 Level 2 Safety Boat

Membership^*

ASCSS team member (£40) Avon Scout County member (£90) Guides, charity or other Scouts group members (£110) Member of public (£150)

Booked by^*

Email^*

Phone^*

Address^*

Participants name^*

DOB^*

Swim 50 meters^*

Yes No

For Safety boat course: Driving experience (include date of PB2)

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.

Safety Boat hand book required^*

Total Price

Please select a date first.

Payments^*

Bank Transfer (preferred) or cheque

Transfer money from your bank account.

RYA Power Boat Booking

Courses calendar – Please select a date