Course attendance form

Please could each member of your party provide the following essential safety information.

Dates

Please specify the date of your course

Date from *

Date to *

Details

Please enter your contact details

Name *

Family Name *

Phone *

Date of birth *//

Additional Information

Medical details and emergency contact details

Details of any disability or medical condition/ receipt of medication. If none please state 'None' *

e.g. Epilepsy, giddy spells, diabetes, angina or other heart condition Note: illness or receiving medication does not necessarily prevent participation in any course.

Name of person to contact in case of emergency (not someone attending the same course) *

Phone *

Home address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Invoicing Address (if different from above)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

VAT Number (if applicable)

Own Boat Tuition Only

Please only fill this in for own boat tuition

Boat Name

Berth Location

Berth Number

Confirmation

Please confirm the details you have filled in on this form.

I have read and agree to be bound by the terms and conditions detailed here. Parent or Guardian of young people under the age of 18: I give permission for my son/ daughter to participate in the above course and agree to these terms on behalf of the minor completing this booking.

Name

Contact

WHERE TO FIND US

Oceanpro, 1/3 Rue Paul Doumer, 06310, Beaulieu Sur Mer, France Tel: France +33(0)6 85 97 22 91 Tel: +33 (0)4 93 53 65 95

LATEST NEWS

Tips for RYA Superyacht PWC/ Jet Ski Training Centres

The yachting season is fast approaching so we thought a few tips for yachts that are running (or wish to run) the RYA PWC Safety course on board might be useful. Existing RYA Centres If you're an existing centre then you'll be contacted soon by your allocated...