Practical Booking Form
Booking Form Practical Courses


Booking Form - Practical Courses
PLEASE PRINT, COMPLETE AND SEND WITH CHEQUE TO:-
Name .............................................................................................
Address .........................................................................................
Tel Number (home)...............................(work)..............................
email address................................................................................
Course: ........................................................................................
Dates:...........................................................................................
No of Places: ................................................................................
Deposit ............................................... 20% Non-Refundable
Balance .................... Payable 6 weeks before start of course
Total .........................Payable to East coast offshore yachting
East Coast Offshore Yachting bank details :- Norwich & Peterborough Building Society.
Sort code 08-60-81 Account no 93190800
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...................