Taster session registration form

First Name

Last Name

Telephone

Date of birth

Current RYA member?

Yes No

Emergency Contact

Please provide the details of a person we can contact in the event of an emergency:

Emergency Contact: Name

Emergency Contact: Telephone

Emergency Contact: Relationship

Medical and Fitness

Please use the following boxes to detail any existing medical conditions or emergency medication carried (e.g. Salbutamol, EpiPen, GTN, etc.) that your instructor should be made aware of:

Medical conditions

Medication carried

I declare that I am comfortable in the event that I may fall into water or have to swim short distances.

Yes No

Privacy and Data consent

The information you provide on this form will be stored electronically, remain confidential, and used solely to process your booking and to attend to your safety for the duration of this activity. The centre has a Data Privacy Policy which can be found at www.focusmarine.co.uk/privacy. Your personal information will be stored and processed in accordance with this policy.

I agree with the above terms, and the information I have provided on this form is true to the best of my knowledge.

As a condition of attending a free taster session, I consent to receiving emails about relevant future powerboat training opportunities.

Taster session registration form

Emergency Contact

Medical and Fitness

Privacy and Data consent

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Powerboat.LONDON is a trading name of Focus Marine Training Ltd. registered in England and Wales with company number 13856892