Junior Training Weekend with Draycote Water Sailing Club Whitsun Weekend, 26, 27 & 28 May 2001

First Name

Surname

Address

Post code

Holiday Address

Post code

Telephone number

(Inc. Mobile if possible)

Email

Date of Birth           

Age                                          

Class of Boat

Sail number

Need club boat

(DWSC members will need to arrange to bring a club boat with them)

Yes/No

Medical problems (e.g. asthma, epilepsy, diabetes etc.)

Previous Sailing Experience

NQYC Courses

Other sailing club courses

Racing

Certificates

I would like to be included in the Improvers/Intermediate course (delete as applicable).

I enclose a fee of £20 (Cheques payable to New Quay Yacht Club) which covers the training and course materials. I confirm that my boat has a valid insurance certificate and that I am a member of NQYC or an affiliated club (list club if not NQYC:                   ). I confirm I can swim 10 metres.

Signed (Child):                                                         Date:

Signed (Parent/guardian):

Return forms to:               Dr Nick James

Breach Manor

Breach Lane

Claverdon

Warks CV35 8QB

Tel 01926 842429

Email : n.d.james@bham.ac.uk

Every effort will be made to abide by relevant RYA safety standards and appropriate insurance cover will be in force. NQYC or its officers cannot be held responsible for unforeseen circumstances beyond its control.

For further details see http://homepages.rya-online.net/NQYC

Updated 15/08/2003 by Nick James