Sailing Course Booking Form

Please complete the form below and we will get back to you in order to finalise and confirm your booking.

Section B
Health	I declare to the best of my knowledge I am not suffering from a medical disability such as Angina, Asthma, Diabetes, Epilepsy, giddy spells, or any other heart condition, and am fit to participate in the course.		Please tick if you agree, otherwise please give details below.
	The listed illnesses do not necessarily preclude you from taking part, but we must have the relevant details. Please detail level of severity and medication received
Swimming	Can you swim 50m with clothing?	yes	no
Special Dietary Needs	Please Specify
Emergency Contacts	Name		Phone
Doctor's Details	Doctor's Name		Doctor's Phone

Additional Details
You are strongly recommended to arrange your own Adventure Activity Insurance cover, for cancellation, injury, personal belongings and personal liability – we recommend that you use this link to contact Topsail Marine Insurance as per item 3 of our terms and conditions.	Link opens in new window
Do you have your own insurance?	yes	no
Before booking on any of our courses, please read and understand our booking conditions.	Click here to read our Booking Conditions. (opens in a new window)
By clicking the Agree & Submit button you are confirming that you have read and accepted the Booking Conditions.

As ever I learn loads each time I sail with you and this week was no exception.