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Powerboat course registration form

Powerboat course registration form

To book your powerboat course please fill in the following online form.
There are three courses available to book
1. Introduction to powerboating (Level 1) Available 19th May.
2. National powerboat certificate (Level 2) Available 9th & 10th March (FULLY BOOKED)
3. Safety boat certificate (Level 3) Available 27th & 28th of April

"*" indicates required fields

Name*

First Last

Email*

Primary Contact Number*

Emergency Contact Number*

Other Contact Number

Billing Address*

Street Address Address Line 2 Town/City County Eircode

Please Inform us of any ailments, physical disabilities, medication, limited swimming ability, etc, for the course participants (Insert "none" if applicable)*

Course participant's Name*

First Last Gender

Course participant's current powerboat level*

Course Participant's Course Choice*

Course participant's Date of Birth*

Course Participant's Email

Are you a Killaloe Sailing Club Member*

Yes

No

Please tick to accept:*

I agree for images taken of the course participant during this course to be used, held and shared by Killaloe Sailing Club, in accordance with Safeguarding Guidelines.

Where applicable: non-members upon payment of course fee will become temporary members for the duration of the course, in compliance with club insurance policies.

Course participant(s) can swim unaided.

Course participant(s) is/are confident in open water while wearing a wetsuit/appropriate clothing and buoyancy aid.

Course participant(s) is/are physically fit to partake in activities.

I agree for my personal data and the personal data of the course participant, for whom I am a parent/guardian, to be used and held by Killaloe Sailing Club and Irish Sailing, in accordance with GDPR.

Payment Section

Choose Course Option*

Total

Credit or Debit Card Payment

Card Details

Cardholder Name

Signature

To submit this form, you need to accept our Privacy Statement*

Privacy Statement

Accept

Phone

This field is for validation purposes and should be left unchanged.

Please note:

• There is a lot of material to be covered and participants are requested to be on time.
• Dress appropriately for the weather, warm, waterproof clothing and footwear required.
• Please note that the course WILL go ahead despite inclement weather unless, following a risk assessment, we consider conditions to be unsafe. If this is the case, you will be entitled to a full refund of your course fee.
• Powerboat course fees MUST be received by KSC in advance of the commencement date.

Booking conditions for courses/camps delivered at Killaloe Sailing Club

Cancellations will be charged €5 administration fee; those less than 2 weeks prior to the start of the course will incur a €50 fee.

No show: any person(s) who does/do not attend the course(s) booked will not be entitled to a refund.

Incomplete sessions: non-attendance or sessions not completed by choice will not be refunded.

Refunds: will be by Stripe refund

We at Killaloe Sailing Club take every precaution for your safety.
However, the activities on your programme are potentially hazardous and do carry an inherent risk. Persons participating in activities or courses do so voluntarily and at their own risk.
KSC policies and procedures
For further information:
Email: training@killaloesailingclub.com