Home >> Booking Form

Booking Form

Name:
Street Address:
Town/city:
Country/State:
Post Code:
Is your postal address the same as your street address?	YesNo
Postal Address:
Town/city:
Country/State:
Post Code:
Telephone Daytime:
Telephone Evening:
Mobile:
E-mail:
Please confirm E-Mail:
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:
Previous Sailing / Boating / Theory:
Payment method:
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:
	Yes I have read and understood the terms and conditions

Enter the code above:

CALENDAR OF EVENTS