Booking Form

Name *:
Street Address *:
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Post Code *:
Is your postal address the same as your street address? YesNo
Postal Address:
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Telephone Daytime *:
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Please tick if you would like to receive weekly emails regarding courses, charters and specials: yes
Shoreside contact in case of
emergency *:
Course Description :
Date from:
Date to:
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Please tick if you have a voucher: Yes
Health: Do you suffer from epilepsy, diabetes, heart disease, asthma or similar ailment? Please specify *:
Special Dietary requirements:
Date of birth (complete only if applying for RYA day Skipper or Coastal Skipper)
For our marketing purposes please indicate age *:
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Tuition & Courses

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