Adult Learn to Sail course: registration of interest

Adult Learn to Sail Course: Registration of Interest

Information collected in this form will enable us to match trainee sailor with instructor and to allow discussion about expectations and requirements of the course. 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 *
The coaching is one on one, and session times will be agreed between the coach and the trainee sailor. Please indicate your preferred time below.
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?
Date

Day Month Year
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Thank you for your interest in the Paremata Boating Club adult learn to sail course. We will be back in touch soon.
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Adult Learn to Sail Course: Registration of Interest