Adult Learn to Sail course: registration of interest

Adult Learn to Sail Course: Registration of Interest

Submission of this form does not confirm participation in the adult learn to sail course.
Name of trainee sailor *

First Name Last Name
Address *
Home Phone
Work Phone
Mobile Phone
E-mail *
We run courses on weekends and some on mid-week evenings. Please indicate your preferred time below to help us with course planning. We will let you know what courses are coming up as they are planned.
Preferred time for coaching

Mid week during the day Mid week evenings Sunday morning Sunday afternoon Saturday morning Saturday afternoon Weekend evenings
Medical conditions or confidence issues the instructors should know about:
Other comments or queries:
How did you hear about our course?
Thank you for your interest in the Paremata Boating Club adult learn to sail course. We will be back in touch soon.
Should be Empty:

Adult Learn to Sail Course: Registration of Interest