Booking Request Theory Courses ~ Sailing Life Academy

Booking Request Classroom Courses

Name

Last Name

Date of Birth

Gender

Adress

Adress Line 1

Adress Line 2

City

State / Province / Region

Postal / Zip Code

Country

Telephone Number

E-mail

Activity/Course required

Month required

Qualifications / previous experience

Emergency Contact Name + relationship to student

Emergency Contact Number

Data Protection Act 1998. The above information including the questions as to your health and ability will be used by us to process your booking for the course and for attending to your safety whilst you are on one of our courses. If you would like to be added to our mailing list in order to receive details of future courses and events please tick here. You may opt out of receiving such details from us at any time by emailing.

Names and addresses of candidates for RYA courses will be shared with the RYA for the purposes of registering your certificate. Please tick here to agree. The data will not be shared with any third party for marketing or commercial purposes without first obtaining your explicit consent.

I confirm I have read and understand the terms and conditions, am willing to comply with all safety regulations and am fit to participate in the course.

BOOKING REQUEST