RYA South West Dinghy Instructor Revalidation Day

Contact Details

RYA Membership number

Title

Date of birth e.g dd/mm/year

First Name

Last Name

Club or Centre

Email Address

Verify Email Address

Mobile

Billing Address

Home Name

Home number & Street

Town

Address County

Postcode

Country

Medical Information - In the interests of your safety do you have any medical conditions or physical or mental impairments that we need to be aware of that may affect your ability to take part in the training?

I confirm that I have given the organiser the medical information listed above for the purposes of my participation in the training. I understand this information will only be used for that purpose that it may be shared with third parties running the training and will be retained for as long as necessary to comply with the organiser/RYAs legal obligations

Dietary requirements - Please provide any details of dietary requirements you may have. (vegetarian, allergies etc.)

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