Teen Try Sailing C Teen Try Sailing – Course C – 2024Course Dates: July 29th – August 2ndPlease enable JavaScript in your browser to complete this form.10 entries remainingSailor's Name *Sailor's Date of Birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent/Guardian name *Parent/Guardian email address *Parent/Guardian contact number *Additional contact name Additional email addressAdditional contact numberPlease detail any medical conditions/illnesses of your child that Wicklow Sailing Club should be aware *Please discuss any condition with the course facilitator and/or instructor on the first day of your child’s course.Do you give permission for First Aid to be administered to your child for any minor injuries *YesNoMember of Wicklow Sailing Club? *No – 225,00 €Yes – 170,00 €WSC Members are provided a discounted rate on the Teen Try Sailing course. if you would like to become a member, please click here to apply.Total0,00 €This is the amount you will be charged for today. Payment Section:Please enter your credit / debit card details belowCredit Card Details *CardName on CardDeclaration: By signing this form, I understand and accept that no liability is attached to Wicklow Sailing Club, its Officers, Members or Servants for any loss or damage to property, or injury sustained by any person enrolled for tuition. I also agree to my child’s image being published on WSC website, social media sites and on Irish Sailing sites.Declaration Confirmation: *I agree to the above DeclarationSubmit
