Check dates with Colin on 07801 384898 and then complete and submit the form below. Alternatively just complete the form and he will get in touch with you regarding dates.
Name
Email
Address
Postcode
Mobile
Home Number
Boat Experience (Please state if Novice)
Please choose from the following:
Any difficultly in understanding written English?
Any disability or restriction in movement
Ability to swim 50m in light clothing
Details of any medical treatment being received:
Next of Kin Name
Next of Kin Phone Number
I declare to the best of my knowledge, I am not suffering from epiliespy, giddy spells, asthma, diabetes, angina or any other heart condition and I am fit to participate in the course.