The name by which your child likes to be known (e.g. first name, or a nickname - please write only one name)
Would you like your child's first name or 'likes to be known as' name to be used on certificates? first name 'LTBKas' name
Your Address, including postcode:
(if you know we have your correct address then just the postcode will suffice)
Your home telephone number, followed by any other telephone numbers on which you might be reached during the course:
Your Email address (one only): (Parent's email address)
The reply to this application will automatically go to this email address, so it must be just one email address and it must be typed correctly and it must
be a working email address, and your mail box must not be 'full'.
Indicate which course you would prefer (please indicate preferences by 1, 2 3 etc, and which courses your child cannot attend ('no'))
(Please don't use 'X'. - I never know whether an X means 'yes' like a vote, or 'no' like a wrong answer)
Easter Courses at Papercourt SC
Course 1: Monday 26th to Friday 30th March 2012 (5 days)
Course 2: Monday 2nd to Thursday 5th April 2012 (4 days)
Course 3: Tuesday 10th to Friday 13th April 2012 (4 days)
Course 4: Monday 16th to Friday 20th April 2012 (5 days)
OPTIMIST DINGHY
Will your child be bringing his/her own Optimist dinghy? (If ‘yes’, please give sail number) Yes No Sail number
OR have you arranged to borrow an Optimist dinghy? (If ‘yes’ please give sail number) Yes No Sail number
OR do you wish to be allocated an RYA Region beginner's ‘Oppie’? Yes No
(if ‘yes’, on receipt of confirmation that there is a place we will ask you to send a cheque for £45 but don't send it until requested.
The boat fee will be refunded if you find a boat within a reasonable time before the start of the course)
ACCOMMODATION
Will your child be living at home during the week of the course? Yes No
If so, are you able to offer to accommodate a child of similar age to your own? Yes No
We are always grateful for offers to accommodate. If we take up the offer, we suggest you should receive £8 per night to cover supper + bed & breakfast
OR will your child be staying with friends or relatives during the course? Yes No
If not, do you wish us to arrange to stay with a family which has a child of similar age on the same course? Yes No
EXPERIENCE
Sailing experience & grades achieved, if any (none is required) Please complete carefully and accurately
Experience, if any, sailing single-handed since May 2011: (e.g. number of sessions or hours on water, being coached or racing)
RYA and IOCA grades achieved and when and where achieved (if none, write 'none'):
Other relevant sailing experience:
Swimming ability (if any - none required):
Sailing club membership (if any - none required):
Medical or dietary information or learning difficulties, if any:
(If none please enter 'none')
Names of any friends expected to attend the same course:
(not essential - you can leave this field blank)
Declarations: I have read the ‘Information Sheet’ relating to the course. Yes No
To the best of my knowledge, my child is medically fit to participate. Yes No
The information provided by you on this form will be stored in a database. No information will be disclosed to any third party. However, if accepted, unless
you inform me otherwise, your child's name will appear on this Internet site under 'accepted registrations' so that friends can find out who is on each
course, and your name, and address (without the first line) and phone number will appear on a 'Transport Sharing' list, emailed or posted to other parents
with children on the same course.
Name of Parent making this application: Mr/Mrs/etc
All communications will be addressed to this Parent. Example: Mr John Brown
If you want to keep a hard copy of the application, now is the time to print this page. Once you hit 'Submit application' this form will disappear as it is sent to ICS.
PLEASE CHECK THE FORM CAREFULLY BEFORE SUBMITTING