2026 Summer Yachting Camp - Registration Form

SUMMER YACHTING CAMP

Registration Form
CLIENT DETAILS

FIRST NAMESURNAME
ARE YOU A YCM MEMBER
PHONE NUMBER

AREA CODEPHONE NUMBER
EMERGENCY CONTACT

FIRST NAMESURNAME
EMERGENCY PHONE NUMBER

AREA CODEPHONE NUMBER
EMAIL
exemple@exemple.com
EMAIL OF PARENT (IN CASE OF A MINOR)
exemple@exemple.com
DATE OF BIRTH

JourMoisAnnée
Date
INDICATE COURSE DATE

MEDICAL QUESTIONNAIRE
DO YOU HAVE ANY HEALTH ISSUES OR DISABILITY
DO YOU SUFFER FROM ANY OF THE FOLLOWING
PREVIOUS HEART COMPLAINT? SURGERY OR ANGINA
NEUROLOGICAL
ENT (EARS, NOSE? THROAT)
OTHER

Other
PARENTAL CONSENT IN CASE OF A MINOR

Parcourir les fichiers

Cancelof
THE UNDERSIGNED CONFIRM THE ABOVE ANSWERS ARE CORRECT TO THE BEST OF MY KNOWLEDGE
Signature
Date

MoisJourAnnée
Date
Any medical problems DO need to be reported to the Instructor.

This medical questionnaire MUST be completed & returned to the course center.
ARE YOU A STUDENT OF THE IUM (INTERNATIONAL UNIVERSITY OF MONACO)
HOW DID YOU FIND THIS COURSE

Other
We collect this data in order to answer you in a satisfactory way. We also use your e-mail address to send you additional offers. To enable this, please tick the boxes below:
The Information you provide us with is used only to handle your request. We undertake to keep your data secure and strictly confidential. We will never sell or hand it over to a third-party company. All our digital data processes have been declared to the CCIN (Commission de Contrôle des Informations Nominatives) by a compliance undertaking. Under Law n°1.165 of 23 December 1993, amended by Law n°1.353 of 4 December 2008, relating to data processing, files and civil liberties, you have a right to access, consult, change, rectify and delete information you have given us. To do this, you can send us your request by email to the following address: dpo@ycm.mc.
La Belle Classe Academy

Quai Louis II MC 98000 Monaco

Telephone number: +377.93.10.70.08

academy@ycm.org | www.ycm.org
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SUMMER YACHTING CAMP