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Sudbury Scout RYA Training Booking Form

This document is a booking form for a course at the 3rd Sudbury Scout Group RYA Training Centre. It requests information such as name, address, contact details, medical history, ethnicity, dietary requirements and emergency contacts from applicants. It also includes spaces for signatures of applicants and parents/guardians if applicants are under 18 to confirm participation in activities and consent. Applicants are asked to return the completed form with a cheque for the course fee.

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105 views2 pages

Sudbury Scout RYA Training Booking Form

This document is a booking form for a course at the 3rd Sudbury Scout Group RYA Training Centre. It requests information such as name, address, contact details, medical history, ethnicity, dietary requirements and emergency contacts from applicants. It also includes spaces for signatures of applicants and parents/guardians if applicants are under 18 to confirm participation in activities and consent. Applicants are asked to return the completed form with a cheque for the course fee.

Uploaded by

api-26181490
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

BOOKING FORM

3rd Sudbury Scout Group RYA Training Centre

Quay Lane
Sudbury,
Suffolk, CO10 2AN
Phone: 07980802213

Email: robert.palmer10@virgin.net

Course dates: ................……........….........Type of course: ......................…....................……………….

Name in full : .................................................................. Date of Birth:.......................... Male/Female

Address: .....................................................................................................................……………………

…...............................................................………………… Postcode…………………………………….

Contact phone no: …………………….. Email address ……………………………………………………..

Is there any medical history/disability of which the Centre Staff should be aware eg: epilepsy, allergies, hearing

difficulties, mobility, asthma etc: ..................................................………………………………………….

Do you consider yourself to be: able / disabled / registered disabled please 

Ethnicity ……………………………………………………

Catered courses: Do you have any specific dietary or allergy requirements? ………………………………

Emergency contact phone no: 1) ................…………….. relationship …………….…………...


2) ………………………… relationship …………….……………

Doctors Name: ……………………………………… Doctors Phone no: ……………………..

Please return this completed form together with a Cheque for £ per place, to 3rd Sudbury Scout Group,
Sudbury, Suffolk, CO 10 2AN.
Please make cheques payable to 3rd Sudbury Sea Scouts.

I confirm that I am confident in the water & can swim. I am also prepared to accept the guidance of the
instructors at 3rd Sudbury Scout Group during the course.

Signature of applicant: ...........................……………….......................... Date: .........................................

If the candidate is under 18 years of age:


I give consent for my son/daughter to take part in the agreed programme of activities at 3rd Sudbury Scout Groups
Powerboat Training Centre.

Signature of parent/guardian.............................................……………….……. Date: ………………………......


www.riverstour.com

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