Your Name (required)

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Your Email (required)

Occupation

Date of Birth

Home Tel. (required)

Business Tel.

Next of Kin (required)

Next of Kin Contact No. (required)

Select Course (required)
---Power Boat Level 1Power Boat Level 2Helmsman Practical CourseDay Skipper PracticalCoastal Skipper PracticalYachtmaster Practical ExaminationYachtmaster Preparation CourseShore Based CoursesPPR (Professional Practices & Responsibilities)

Course Date From

Course Date To

Additional Information

Sun Coast Sea School must be made fully aware of any medical condition such as asthma, angina, epilepsy, giddy spells or any other heart condition or disability. However, these conditions need not prevent you from taking part in any of our courses. It is also strongly recommended that all practical course participants are able to swim. It is important that your instructor knows of any students that are non-swimmers. Please tick the boxes below.

 I have no medical conditions to declare I have listed my medical conditions below I am able to swim I am a non-swimmer

Please list your medical conditions here

Declaration

To send your completed booking form please tick the boxes below:

I have read and agree to the Sun Coast Sea School Booking Terms & Conditions.

I am over the age of 18 years.

I am in good health, other than the conditions I have given.

I accept the decision of Sun Coast staff & Instructors as final in any matters concerning the safety of the vessel and any of its passengers.