Booking Form

Course Name * RYA Day Skipper TheoryRYA Yachtmaster TheoryRYA Sea SurvivalRYA VHF RadioRYA First AidCastle Cruise FlotillaOther

Start Date of Course *

Name of Attendee *

Surname of Attendee *

House Name/No.

Street

Town

County

Postcode

Telephone Number (Home/Work) *

Mobile Number *

Email Address *

Do you have any medical conditions or allergies? * NoYes

If ‘yes’, please provide further details below on any medical conditions / allergies.

Emergency contact details. Name:

Street

Town

County

Postcode

Telephone *

Full Course Fee (£) *

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I have read the Ocean Discovery terms and conditions and declare that, to the best of my knowledge, I am fit to particpate and must have appropriate levels of travel and medical insurance. I understand that only payment of the course fee in full completes my course booking. *

For Sea Survival Courses only: I declare I am confident in the water, that I am, to the best of my knowledge, physically fit to take part in the activity and I am willing to comply with all safety regulations.

Signature *

Date *

3 + 5 = ?Please prove that you are human by solving the equation *