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

Other
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?
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
DBSC would like to be able to contact someone on your behalf in an emergency, for exampe, if you became ill while out on the water. It would be useful if that person could provide information about any medical conditions that you have.

Please tell your emergency contacts that you have named them as emergency contacts for DBSC.

The information that you provide in this section will be stored in a sealed envelope on each committee boat, and will only be accessed in an emergency.
Primary Emergency Contact Name

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

Other
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

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