RYA Club (Intermediate) Racing Course

About The Course Participant
If you are filling in this form and you are not the course participant, please ensure you enter the course participants details and not your own! One application per person.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postal CodeCountry
Home Phone Number*

Area CodePhone Number
Mobile Phone Number
Birth Date*

DayMonthYear
E-mail*

Emergency Contact
Please enter the details of someone who can be contacted in an emergency during the course.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Postal CodeCountry
Home Phone Number*

Area CodePhone Number
Mobile Phone Number*

My Products*

Member of SLYC (CRC - 12/14 August)£135.00

Non-Member of SLYC (CRC - 12/14 August)£180.00

Total £0.00

Declaration
All of the information I have entered into this online form is correct.

SLYC reserves the right to cancel a course due to low numbers or unexpected circumstances 5 days before the first day of the course. You will be informed if this unlikely event occurs and will be fully reimbursed for your course fees.

Please enter your name below to acknowledge the declaration above, complete the anti-spam box below and press the "Submit Form & Process Payment" button to confirm your application.
Your Full Name*

First NameLast Name
Should be Empty:

RYA Club (Intermediate) Race Course