Waldringfield Sailing Club

	Waldringfield Sailing Club

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Application Form Sail Training

APPLICATION FORM
Waldringfield Sailing Club - Junior Weeks 2010 26 - 30 July & 2- 6 August
Name		Date of Birth

Please indicate which sessions (Morning or Afternoon) you wish your child to attend:

July 26 - 30

AM SESSION RYA Level 1 + 2 (Beginners and Novices) only

PM SESSION RYA Advanced Course 'Start to Race' only

Aug 2 - 6

AM SESSION RYA Level 1 + 2 (Beginners and Novices) only

PM SESSION RYA Advanced Course 'Start to Race' only

In consideration of the child being accepted as a participant for the event, I make the following statements, declarations, undertakings and acknowledgements

1. I confirm that:

a. The child is my dependant

b. During the time the child is afloat I will be available in or around the Club. If I am not able to be there I will inform the organiser in writing of the name of the adult who will be acting in my place while I am absent.

Are there any Medical Conditions or Allergies that the organisers should be aware of

2. I warrant that:

a. That the child is fit to take part in the event and to sail in those conditions deemed appropriate.

b. That I have disclosed any medical problems that might affect the child during the event.

Can your child swim: YES/NO

How proficient at swimming is your child:

Name of Parent or Guardian of the child

Please indicate what sailing (if any) the child has experienced:

Address of Parent or Guardian

Is there anything else we should know about your child?

Home Telephone:

Mobile Telephone:

E-Mail Address:

Name of person acting in loco parentis if the parent or guardian is not attending the event

Signature of Parent or Guardian
(required under all conditions)

Entry Fee £120

5 Morning (Beginners)or Afternoon (Improvers)Sessions

I enclose Cash/cheque payable to Waldringfield Sailing Club Training for