R64, 2024-03-19

NOTE: Powerboat Training UK does not accept paper waivers, please submit electronically.

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Booking Form (Afloat or ashore (except 'jetski') courses)

All of the practical courses we run require a 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.

What course are you undertaking?

Please select the particular course you are undertaking

If 'other' please state which course that you are doing

Please type the course here if not listed above

 

Who is your Instructor today?

Please enter your legal name as it appears on your passport.

 




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 select ‘None’ in this box 

....else detail what we need to know.


Please provide details of an individual we should contact in the event of the need to do so (NB: This person MUST NOT be on the course with you):


You agree that you have read and accept our Terms and Conditions of Business which are available here - Terms & Conditions of Business. (For participants UNDER 18 years of age or vulnerable adults a parent or guardian must sign the declaration below. Those under 18 are only accepted onto courses under certain conditions.)


Click to Sign
Signature

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.