HMS Coaching Sailor Registration 2017-18
Use this form to provide information relating to the sailor including contact and parent information - one per helm or crew.
Email address *
Identification and Acknowledgement of Risk
I acknowledge that there are risks involved in all water sports. I am also aware that other participant’s actions and the actions or inaction of the organisers of the course can endanger safety. It is up to me personally to assess these risks. I undertake that I will act in a safe, calm and responsible manner and follow the directions given by instructor and coaches or the safety boat crew. I have read and understood all the information about the training course and consent to them.
Sailing Club *
Enter the name of the sailing club that you sail from or NONE
Sailor First Name *
Your answer
Sailor Surname *
Your answer
Helm or Crew *
Date of Birth *
Swimmer *
Medical *
Please provide information and instructions as necessary for any medical conditions that the coaches need to know or enter NONE
Your answer
Responsible Person/Parent
Responsible Person *
Enter full name
Your answer
Telephone number *
Enter the Responsible Person's landline contact number or type NONE
Your answer
Mobile number *
Enter the Responsible Person's mobile contact number or type NONE
Your answer
Email address *
Enter the Responsible Person's email address
Your answer
Boat *
Select the class of boat that you expect to use generally
Sailing crew/helm full name
Enter the name of the sailor that you plan to sail with or leave blank if you sail singlehanded,
Your answer
Anything else that you want the coaches to know.
Your answer
Parental Consent (for under 18s)
I understand the forgoing and also agree to the instructor acting in loco parentis for my dependant and give my permission for my son/daughter to be treated in the event of an emergency.
I have made arrangements for my dependant to be collected promptly at the end of each daily session.
I also agree to the appropriate photographing or videoing of my dependant solely for the purposes of assisting in their training or for Highland & Moray Sailing archives or publicity.
Please acknowledge your consent (for under 18s) *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.