Book Sail Training

First Name*

Last Name*

Date of birth*

Parent/ Guardian first name (Under 18 only).

Parent/ Guardian last name (Under 18 only).

Email*

Mobile phone number*

Home phone number*

House number/ name

First line of address

Second line of address

Town

County

Postcode

Please provide details of any medical condition(s), allergies or current medication - if there are none please state 'none'.

NB. The disclosure of any medical condition(s) will not necessarily restrict access to the course, but please contact the Principal or Chief Instructor to see how we can cater for your needs.

Medical details*

Medical Declaration*

Tick here

By ticking this box I declare that to the best of my knowledge I am not suffering from epilepsy, giddy spells, disability, asthma, angina or other heart condition and I am fit to participate on the course.

Emergency contact name*

How is this person related to you?*

Mobile phone number*

Home phone number*

Course selection*

Single Person

Family 2 persons

Family 3 persons or more

Dinghy sailed

By booking a course I agree to abide by the Rules and Bye Laws of Broadstairs Sailing Club and additional Covid Restriction's and to my personal information being stored for the duration of our membership and for a period of one year following resignation from the Club.

Club Rules

Byelaws

Covid Guidelines

From time to time members may be filmed (photographic and/or video images). I agree to any such images being included in newsletters, presentations and publicity material.

Tick here If you would prefer images not to be used.