BOOKING/APPLICATION FORM SOUTH EAST CRUISING SCHOOL

BOOKING/APPLICATION FORM (print off and send to us) SOUTH EAST CRUISING SCHOOL

Name: Mr/Mrs/Ms/ :- ________________________________________________ Ref. 10.________

Address. ___________________________________ ____________________________________

___________________________________________ ____________________________________

gTel. H ____________________ W____________________ Mob.________________________

F._______________ e-mail_____________________________ Date of Birth _______________

Passport No.___________Family/Shore contact:- ___________________Tel._________________

ISA/RYA Qualifications held ______________ Brief Resume of Recent Sailing Experience:_________

________________________________________________________________________________

Course required:- _____________ Preferred date(s) _______Code ____ Second Pref. _______Code _____

· Are You currently in receipt of Medication or do you suffer from a condition that the Instructor

should be informed about? If so, in the interests of your own and the other participants safety, please

let us know below. (Doctors Certificate might be required).

Medical details __________________________________________________ _________________________

I confirm that I (my child/ward) am/(is) fit to take part in a Sailing Course/Holiday and I

agree to the Terms and Conditions of SOUTH EAST CRUISING SCHOOL.

For Course Participants U-18, Permission of Parent/Guardian is required below.

I confirm that (name)________________________has my authority to participate in Courses run by SOUTH EAST CRUISING SCHOOL

Please read and complete/delete where appropriate, below

· It is strongly recommended that you take out Personal Accident Insurance for the full duration

of your Sailing Course, as sailing is an outdoor activity with an inherent risk of possible injury, which

could involve loss of earnings.

· I will / will not require Oilskins (size XL / L / M / S ) (Y/N)

· *Boots (size ___ ) (Y/N) / *Sleeping Bag (Y/N) / (*both supplied free)

· I have special dietary needs Y / N Details ________________________________________

To secure your booking, please forward €75.00 with this form, with the balance due at least

28 days before the start date of your Course. SOUTH EAST CRUISING SCHOOL 's boats are fully

insured against accident and third party liability. Insurance for Personal Accident, Injury and/

or Loss of Training is the responsibility of Course Participants.

I’m sorry, but due to exhorbitant charges, I can no longer accept Credit Cards.

Please cross cheques and make payable to SOUTH EAST CRUISING SCHOOL

I heard of SOUTH EAST CRUISING SCHOOL from___________________________ BACK to SCHEDULE

Send to

South East Cruising School, 7 Glenvale Park, Wicklow –

00353 (0)404 69970 / (0)87 2394379 email sailsoutheast@eircom.net

HOME ~ COURSES ~ SCHEDULE ~GREECE ~ ABOUT US ~ WHERE ? ~ CANARIES ~ NEWSLETTER ~ LINKS ~ CONTACT US