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Booking Form - Practical Courses

PLEASE PRINT, COMPLETE AND SEND TO EAST COAST OFFSHORE YACHTING, 1 MOORY CROFT CLOSE, GREAT STAUGHTON, HUNTINGDON, CAMBS, PE19 5DY



Name .............................................................................................
Address .........................................................................................
Tel Number (home)...............................(work)..............................
Course: ........................................................................................
Dates:...........................................................................................
No of Places: ................................................................................

Deposit ............................................... GBP 20% Non-Refundable
Balance ....................GBP Payable 6 weeks before start of course
Total ........................................................................................GBP

If balance has not been received this will result in the reservation being offered to other clients.

Previous experience/qualifications .............................................

Details of any medical treatment being received (if none write none)..........................................................................................

Special dietary requirements .....................................................

Name and contact number in case of emergency ......................

I declare that to the best of my knowledge, I am not suffering from epilepsy, disability, giddy spells, asthma, diabetes, angina, or other heart condition, & I am fit to participate in the course.
I UNDERSTAND THAT PERSONAL INSURANCE IS NOT INCLUDED IN THE COURSE FEE. REFUNDS WILL NOT BE GIVEN IN THE EVENT OF A CUSTOMER CANCELLATION.
SIGNED ......................................................................................
DATE...........................................................................................
For office use only ......................................................................
Deposit .......................................................................................
Confirmation................................................................................
Balance .......................................................................................



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