Adult Dinghy Course
Carrickfergus Sailing Club - Sailing Course Registration Form.
Senior Instructor : Andrew Penney
Dinghy Instructor : TBA
Cost : £80 Member / £120 Non Member

Please fill out one form for each participant.

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

Email address
Which course would you like to participate in?
Name
Your answer
Address
Your answer
Date Of Birth
MM
/
DD
/
YYYY
Sex
Daytime Telephone
Your answer
Emergency Contact Number
Your answer
CSC Member
Does the participant suffer from any medical conditions that we should be aware of?
Is the participant taking any medication we should be aware of?
Does the participant have any injuries present?
If the answer is yes to any of the above, please give details.
Your answer
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?
Describe the participants previous sailing knowledge.
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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