RYA Training Centre Booking Form - Shore Based - South Caernarvonshire Yacht Club

RYA Booking Form - Shore Based

SCYC RYA Training Centre

Booking Form for Shore Based Courses

RYA Course

First Aid Course cost - £80.00

VHF Course cost - £90.00 plus £70 which is payable direct to the RYA for the exam.

VHF Course dates

First Aid Course dates

Essential Navigation & Seamanship Course dates

Radar Course dates

PERSONAL DETAILS

To be completed by parent/guardian/responsible adult eg grandparent, if under 18.

Please note minimum age for VHF course is 16 years.

First Name

Last Name

Name by which you / they would like to be addressed.

Date of Birth

Address

Address Line 1

Address Line 2

Town

Postcode

RYA Membership Number

Is the participant under 18?

Yes

First Name of person completing this form

Last Name of person completing this form

Relationship to Junior

CONTACT DETAILS

Mobile

Parent / Guardian Email

Parent / Guardian Phone/Mobile

MEDICAL DETAILS

Other

Any emergency medication available:

EMERGENCY CONTACT DETAILS

(Next of Kin)

First Name

Last Name

Relationship to Participant.

Mobile

Address

Address Line 1

Address Line 2

Town

Postcode

CONDITIONS OF BOOKING

1. In providing a service to you /your Junior, we undertake that we have the necessary expertise to do so. All of our instructors will have the necessary qualifications and competence to conduct the course.

2. We shall not be subject at any time to any directions from you/your Junior as to the manner in which we shall provide our services to you.

3. You/your Junior will at all times obey and carry out all lawful commands and instructions given by our instructor in the provision of service.

4. You/your Junior should not cause any disturbance, nuisance or damage to any of our property or that of any third party.

5. We or our employees or agents or servants accept no liability for theft, loss or damage howsoever arising of your property whilst on or off any of our training crafts or in our premises.

6. You warrant that all representations made by you in the booking form and in any other manner are true and correct.

DISCLAIMER

I declare that the information given above is correct to the best of my knowledge and I am/the Junior is fit to participate in the course named above.

Yes

I understand that photographs/video may be taken while participating in this course which may be used for publicity purposes, and I herby give my permission for any such photographic likeness to be used in all forms of media for the promotion of SCYC.

Yes

For Terms and Conditions of Booking click here.

I fully agree with the Terms and Conditions of booking and accept all of the risks of participation the course.

Yes

Data Protection Notice: Please note details held on our database are for Club or RYA certification purpose only and will not be forwarded to third parties under any circumstances.

SCYC has a Child Protection Policy which conforms to RYA guidelines.

Signature

Sign Here

Date / Time