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Online Booking Form
Buccaneers 14 day Programmes
Please fill in your details below and we will contact you as soon as possible.
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Personal Information
Full Name:
*
Full Address:
*
Your Age:
Remember you must be at least 14 by the time you start the course
Your email:
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Contact Telephone number:
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Daytime contact no (if different):
About you
Date of Birth Details:
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DD/MM/YY
Place of Birth:
Nationality:
Passport Number:
Course Details
Course / Voyage Number:
*
Please find the course you wish to book.
(Please Select)
SCB142101 'Buccaneers' 14 day -Saturday 31st to July Friday 13th August 2021 (Portsmouth - Weymouth)
SCEXP2101 'Buccaneers' 14 Days Greece -Saturday 31st July to Friday 13th August 2021 (Elliniko - Cyclades - Elliniko)
SCEXP2102 'Buccaneers' Sail Camp - 14 Days Caribbean -Saturday 18 December 2021 to 2nd Jan 2022 (St Lucia - St Lucia)
Further Assistance Required:
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Your Previous Expereince
Have you been on a sailing course before:
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Yes
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If yes - please give details of certificates held:
Have you dived before ?:
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Needed for Dive Camps modules
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No
Yes
Not sure
If yes - please give details of certificates held:
Can you Swim?:
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Yes
No
Not sure
Next of Kin
Next of Kin:
Who will not be on board with you
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Their contact telephone number:
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Relationship:
Medical and Dietary Requirements
I will complete my medical form:
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We require you to complete a medical and dietary form.
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Online please send link
please send by post
Secure your Place
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Pay a 30% Deposit
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You can pay over phone or via an Online form
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Where you referred by Quaystage staff?:
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Parent / Guardian consent for under 18's
I confirm that I am the parent / Guardian of the above applicant and I am willing for him to attend this course:
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Are you the principle contact:
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