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Youth Adventures
Pioneers Sail Camps (14 -16yrs)
Buccaneers Sail Camp (16-18yrs)
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How to get the Funds?
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Education@Sea -' the ocean classroom'
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Season 2021 Update..
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Online Booking Form
UKSB03-213 Buccaneer weekend booking form
Please fill in your details below and we will contact you as soon as possible.
Enter not this field:
Personal Information
Full Name:
*
Full Address:
*
Your Age:
Remember you must be at least 14 by the time you start the course
Your email:
*
Contact Telephone number:
*
Daytime contact no (if different):
About you
Date of Birth Details:
*
DD/MM/YY
Place of Birth:
Nationality:
Passport Number:
Course Details
Course / Voyage Number:
*
Please confirm the course you wish to book.
Select Course
UKSB03-213 Buccaneer Bank Holiday Weekend 27th August - 30th August 2021 (Portsmouth to Portsmouth)
Please contact me about other courses/dates
Your Previous Expereince
Have you been on a sailing course before:
*
(Please Select)
No
Yes
Not sure
If yes - please give details of certificates held:
Have you dived before ?:
*
Needed for Dive Camps modules
(Please Select)
No
Yes
Not sure
If yes - please give details of certificates held:
Next of Kin
Next of Kin:
Who will not be on board with you
Their address (if different to above):
Their contact telephone number:
*
Relationship:
Medical and Dietary Requirements
I will complete my medical form:
*
We require you to complete a medical and dietary form.
(Please Select)
Online please send link
Please send by post
Secure your Place
How would you like to secure your place:
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(Please Select)
Pay in Full now
Pay a 30% Deposit
Talk to a member of staff first
How would you like to pay?:
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(Please Select)
Online payment form for BACS transfer
PayPal invoice with Credit/Debit Card
How did you find us?
How do you hear about us?:
Where you referred by Quaystage staff?:
(Please Select)
No
Yes
If yes - please give staff name:
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:
Please enter your full name
Are you the principle contact?:
(Please Select)
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No
Principal Contact's details:
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