Junior Sailing Course

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Carrickfergus Sailing Club - Sailing Course Registration Form.
Senior Instructor : TBA
Dinghy Instructor : TBA
Cost : £120 Member / £140 Non Member

Please fill out one form for each participant.

We can not confirm your place on the course until payment is made.

Email *

Which course would you like to participate in? *

Name of Child *

Address *

Date Of Birth *

YYYY

Sex *

Female

Male

Name of Parent/Guardian *

Parents Daytime Telephone *

Other Contact Number - Please state relationship to child

CSC Member *

Yes

Does the participant suffer from any medical conditions that we should be aware of? *

Yes

Is the participant taking any medication we should be aware of? *

Yes

Does the participant have any injuries present? *

Yes

If the answer is yes to any of the above, please give details.

It is your responsibility to make known to us any medical conditions that may affect the participants safety during the course.

Do you give permission for photographs / video images to be taken of the participant for the use on club website / social media / publications?

Yes

Clear selection

Describe the participants previous sailing knowledge.

A copy of your responses will be emailed to the address you provided.

Submit

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