PACKAGE RYA JETSKI + POWERBOAT LEVEL 2

PACKAGE RYA JETSKI + POWERBOAT LEVEL 2

Registration Form
Please choose your course dates:

28th-30th May 202611th-13th June 2026
Personal information*

PrefixFirst NameLast Name
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Additional address information

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Date of birth*

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Date
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Medical information

All of the practical courses we run require un certain level of physical activity and the waves and wash the vessels pass over/through will create impacts on your body. If you have any concerns about your ability to take part in the course due to health or fitness reasons you should consult with your doctor and consider whether the course is appropriate for you.
Have you any health issues or disability?*

YesNo
Are you currently taking medication (if Yes what for)?*

YesNoAutre
Do you suffer from any of the following?*

Shortness of breathChest complaints e.g. bronchitis / asthma?yesNo
Previous heart complaint, surgery or angina?*

YesNo
Fits / fainting / dizziness?*

YesNo
Any problems with mobility?*

YesNo
Any significant disease, infection e.g. diabests, ear infections etc?*

YesNo
Are you taking any medication/pills/injections which may affect your participation?*

YesNo
Did you feel unwell at the moment?*

YesNo
Details of any medical treatment being received, or conditions that we may need to be aware of, if you are taken ill during a course. If there are none then write 'None'.*
Emergency contact*

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Anything you would like to tell us (preferred dates, etc)?
Where did you find this course ?

La Belle Classe Academy emailYCM logbook emailLinkedInFacebookInternet searchYotspotInstagramYCM facilitiesWord of mouthOcean Wave MonacoPhoenix Yacht ManagementOther
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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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