DBSC Patrol Crew Application

DBSC Patrol Crew Application Form 2026
Applicant Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
County
Post Code
Phone Number*
Format: (000) 0000000.
E-mail*
example@example.com
Date of Birth

DayMonthYear
Date
Age*
e.g 18
PPS Number *
Do you suffer from any medical illness, allergies or carry medication on your person that we should know about*

YesNo
If you have answered YES to the above please supply details HERE
All information supplied will be treated in the strictest confidence
Qualifications
Qualifications*

National Powerboat Level 2 CertificatePowerboat Level 2 but require driving hours to obtain full qualificationSafety BoatVHF Radio LicenceCurrent First Aid CertificateSailing InstructorMark LayerSafeguardingOther
If you have a Powerboat Level 2 Certificate, please state what RIB driving experience you have, IF ANY? Do you drive a RIB for pleasure? Have you driven a RIB for Safety Patrol at a Club Regatta? Please give some details if you have ANY of the above.
If you have a Mark Laying Qualification or Sailing Instructor Qualification please state what work you have done? Please give some details.
Please upload certificate copies here, if you have not already provided them.

Any problems uploading your certificates please email dbscpatrolcrew@gmail.com
Cancelof
Have you worked for DBSC before?

YesNo
Availability during Season. Please state below holidays you may have already booked during the season

Please select your preferred days

Rows	Days
Most preferred day
2nd
3rd
4th

I Declare I am over 18 years of age
Parent or Guardian Consent
As you are under 18, we need the consent of a parent or guardian for you to join the DBSC Patrol Crew, and also to allow DBSC to contact you directly by phone, text, email or WhatsApp.

The person who gives this consent will also be recorded as your primary emergency contact.
Parent or Guardian Name*

First NameLast Name
Parent/Guardian Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email*
example@example.com
I give the above consent, as parent or guardian Signature*
Emergency Contacts
Primary Emergency Contact Name*

First NameLast Name
Primary Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 0000000.
Relationship 1*

ParentGuardianSiblingPartner/SpouseOther
In case we are unable to contact the Primary Emergency Contact you have provided, please provide details of a Second Emergency Contact
Second Emergency Contact Name*

First NameLast Name
Second Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 0000000.
Relationship 2*

ParentGuardianSiblingPartner/SpouseOther
I, as Parent/Guardian give the above consent Signature
Safeguarding Statement

Over 18 years only
Have you recently been ISA Garda Vetted or have you applied for the vetting process?

YesNo
Add Certificates
Have you remembered to upload your Qualification Certs above? If you do not upload your certificates with this application, you will have to reapply again.*

YesNo
Add Experience
Have you remembered to fill in your experience (if any) on RIB driver experience and/or Mark Laying work?*

YesNo
Data Protection Statement

Patrol crew are required to provide the above personal data to Dublin Bay Sailing Club
Do you consent to the collection of your data for the purposes of Dublin Bay Sailing Club organising rosters, work payments and to carry out Revenue Commissioners tax compliance and for Dublin Bay Sailing Club to use the contact information provided to contact you by email, SMS, phone or Whatsapp media for the purposes outlined above?*

YesNo
Do you give consent for your contact details being shared with the Sailing Managers of the Dun Laoghaire Motor Yacht Club, National Yacht Club, Royal Irish Yacht Club and the Royal St. George Yacht Club for the purposes of contacting you in regard to sailing events and regattas they are organising?*

YesNo
Should be Empty:

DBSC Patrol Crew Application Form 2026

Qualifications

Parent or Guardian Consent

Emergency Contacts

Safeguarding Statement

Add Certificates

Add Experience

Data Protection Statement