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 Courses Application / Booking Form


Name:
Address:
Postcode:
Contact Phone Number:
E-mail:
Date of Birth:
Nationality ( if not British):
RYA Certificates Held:
Other Qualifications:
Sailing Experience To Date:

Next of Kin:

Name:
Relationship:
Address:
Postcode:
Phone (daytime):
Phone (evening):

Which course(s) would you like ?

Theory Courses (select )

Practical Courses (select)

Ancillary Course - Diesel Engine Maintenance


Ancillary Courses - First Aid (select)

Ancillary Courses - Radio (select)

Please give 1st and 2nd choices for date of course(s):

DECLARATION:

Details of any medical treatment being received (if none please say so)

I declare that to the best of my knowledge I am not suffering from Epilepsy, Giddy Spells, Asthma, Diabetes, Angina or other heart condition or any disability and am fit to participate in the course applied for. (If you do suffer from any of the above this does not necessarily preclude you from participating but we need to know about it.)

I have also read and accept Conditions regarding Payment, Cancellation, and Liability.

Please enter / sign your name in full

and enter today's date
Do you need any gear ?

If so, please provide the following information:
Clothing - what size are you ?
Footwear size
(allowing for thick socks in winter !)
( enter size if applicable )
Sleeping bag - do you require one ?
(select yes/no)
How did you hear about us ?
Any questions or further information ?


When you have completed the above form:

(1)

Click on the button

(2)

Mail your payment to us

Conditions

PAYMENT

Please send the full amount due to our office ( address at the bottom of the page ) now, or a 25% deposit now and the balance at least 28 days before the commencement of the course. When we receive your payment we will contact you by telephone and letter to confirm the course dates.

CANCELLATION

In the event of a student cancelling a course 28 or more days prior to the commencement of the course, every effort will be made to resell the course. If the course is resold the student will be liable for 10% of the course fee by way of a handling charge. If the course is not resold the student shall be liable for 25% of the course fee (i.e. the deposit).

If the student cancels a course between 14 and 28 days before the commencement of the course the student shall be liable for 50% of the course fee.

Should the student cancel less than 14 days before commencement of the course then the full course fee shall be payable.

It should be noted that in exceptional circumstances (e.g. bereavement), the full course fee may be refundable in all cases. This decision rests with the Principal or his appointed deputy.

Should very severe weather conditions cause the cancellation of a course then every effort will be made to accomodate the student on a later course that is convenient to the student. If this proves impossible, or should the school cancel for any other reason the full course fee shall be refundable.

LIABILITY

The Sea School or any of its employees or any person subcontracted by us shall not be liable for loss or damage to students' property nor for any injury or illness suffered by any student for whatever reason or cause.

Return to Declaration and Signature

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Ocean Village Southampton, Hampshire UK
Mobile: 0044 (0) 7986176060,Tel:/ Fax: 0044 (0) 2380458421, E-mail: info@meridsail.co.uk