Learn to sail 1st - 5th August sign up and consent form
Participant Name
*
First Name
Last Name
Participant Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
*
The participant is an S3 pupil at Campbeltown Grammar School
The participant is an S4 pupil at Campbeltown Grammar School
Contact Phone Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Add my email to the Kintyre Seasports Mailing list to find out about different opportunities to get afloat in Campbeltown
Please give details of any medical conditions or medication that could effect the participant's ability to sail a dinghy or that the session organiser/instructors should be aware of? If you would like to discuss any additional support needs you have please contact jamie@kintyreseasports.co.uk.
*
Is the participant taking any prescribed medication? If yes, please also give details.
*
Is the participant water confident?
*
Yes
No
Consents
To be completed by a parent or carer of the participant
Necessary Consents
*
I consent to the personal data contained within this form being stored and used in accordance with the Kintyre Seasports Privicy Policy. The policy is available to read at www.kintyreseasports.co.uk/privacy-policy
I consent to any emergency medical treatment which the participant may require during the course of the activity.
I have read and agree to the Kintyre Seasports Booking Conditions, available from www.kintyreseasports.co.uk/booking-conditions
Optional Consents
I consent to photos and videos of the participant being taken and used to promote Kintyre Seasports including but not limited to online and on social media.
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Relationship to participant
*
E.g. partner, spouse, parent, friend
Emergency Contact Phone Number
*
Please enter a valid phone number which the emergency contact will be available on during the sessions.
Submit
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