Booking Form

Please complete the form to request a booking. We will contact you to confirm all of your booking details.

Please ensure you have completed the fields marked with a '*' before submitting.

Ref Check (please leave)

Name: *

Date of birth: *

Address: *

Address 2:

Town: *

County: *

Postcode: *

Telephone: *

Mobile:

Email: *

Course/event: *

Date from: *

Date to: *

Do you require waterproof hire?
(Hire fee £10): *

Yes

Size

Lifejackets are provided free of charge

Can you swim 50 meters?: *

Yes

Have you sailed with us before?: *

Yes

Previous experience

Previous boating experience:

Navigational experience:

RYA Courses passed:

Dinghy:

Level 1

Level 2

Sailing/Motor cruiser:

Theory:

Day Skipper

Yachtmaster

Practical:

Comp Crew

Day Skipper

Yachtmaster

Coastal/Offshore

Emergency shoreside contact

Name:

Relationship:

Address:

Telephone:

Medical and diet:

Details of any medical conditions and treatment being received/medication taken:

This should not prevent you from taking part in our courses/event, BUT we do need to know in advance.

Any special dietary requirements:

How did you hear about us?:

Data Protection. The above information including the questions as to your health and ability will be used by us to process your booking for the course and for attending to your safety whilst you are on one of our courses. We shall also include your name and address on our mailing list.
If you do not want to receive details of future courses or events please tick the box.
Names and addresses of candidates for RYA Powerboat Level 2 Courses will be shared with the RYA for the purposes of registering your certificate. The data will not be shared with any third party for marketing or commercial purposes without first obtaining your explicit consent.

I confirm, to the best of my knowledge, that I am fit to participate in the course/event, and I accept the terms and conditions. *