Booking Form - 2016 Course Dates Please tick your preferred course/training choice. Cost of each course is shown. SY=Start Yachting CC=Competent Crew DS=Day Skipper MB=Milebuilder insert other requested training. Requested Dates for Training The will contact you to arrange training dates with you. This will also be dependent on other students attending the training so that the boat has enough suitably qualified crew for the course. Alternative dates may be offered to you. H: Half-Day Sailing 40 Start Yachting* is a 2 day course but can T: Come Try Yachting 1 day course 120 be taken as 2 individual days but with A: 2 day course 210 overnight stays. B: 3 day course 320 Competent Crew* & Day Skipper* is a 5 day C: 5 day course 495 A+B course S: Spinnaker Workshop 40 course but can be taken as a 2+3 or 495 when A and B booked at the same time 3+2 day course, or over 3 w/es L: Interested in Ladies only sailing (cost is 3 x 210 for 3 w/es) *check overnight requirements Racing: Round the Island Race (3 days) 2 July, with Dover training day 19 June and Solent training day 1 July 395 Two day Milebuilder 29-30 June, Dover-Solent 210 or 185 when booked with RTI Race Two day Milebuilder 3-4 July, Solent-Dover 210 or 185 when booked with RTI Race 20 Round the Island Race shirt 3-10 July One Week Cruise Solent-Dover via Normandy Coast 650 For courses/training of more than one day, meals on the boat are included in the prices. Please arrive by 7pm the evening before (exceptions possible on request). Any restaurant or Club meals need to be paid for additionally and this is usually the case for evening meals during courses. For courses/training of one day, please arrive by 9am unless advised otherwise. Please bring your own picnic lunch. Joining Instructions will be sent to all participants beforehand. Please contact sailingschool.rcpyc@gmail.com with your initial enquiry and to arrange any course dates. Then email your completed booking form, arranging payment of your deposit or full course fee. If you need to discuss your training requirements, contact Chief Instructor Terry Lee mobile: 07710 647966
Terms & conditions of booking: A non-refundable deposit of 100 per course/training is required with this booking form, unless you are booking the half-day or spinnaker training in which case the full course amount is due. The balance of the course cost is payable at the latest 10 days before the start of the course. If you cancel 10 days or less prior to the course start date, you will still be required to pay the full amount if the is unable to fill your place with another participant. Bookings are only confirmed on receipt of the booking form and deposit. Please make a bank transfer (preferred) to RCPYC Ltd. Cheques are payable to RCPYC Ltd. You must be a member of the RCPYC please submit a membership application form to apply for 3 months temporary membership including a 35 fee. No extra fee required for half-day sailing. During the course/training, you are required to follow instructions from the person in charge of the boat at all times. The medical/emergency contact form should be submitted with the booking form. The course/training may be subject to postponement/delay due to weather conditions etc. Alternative arrangements will be agreed with participants. Insurance: Our policy provides full cover for our yachts and against accident, injury and third party liability. We recommend that you have your own insurance to cover you with respect to injury, personal liability and cancellation. Medical Declaration: I declare that, to the best of my knowledge, I am fit to participate in the sailing activity I am booking. Data Protection Act: I understand that the RCPYC and RCPYC Ltd may keep my details on file and may share this information with other approved organisations with regards to sailing. Making a booking: I have read and understood the contract I am entering into and agree to the cancellation arrangements. Club and Training Centre terms and conditions apply. Signed: Date:.. Your Name: Your Address: Email: Telephone: For office use:..... Postcode........ Mobile:... Deposit rec d r Emerg. Contact form rec d r Booking acknowledged r Membership form rec d r Full payment rec d r Membership fee rec d r
Emergency Contact/Medical form for Adults Please complete all sections in Block Capitals Participant s details First name Surname/family name Home Address Date of birth Mobile Number Home Phone Number Email Address Next of Kin Emergency Contact: First name Surname/family name Relationship to Participant Home Number Mobile Number Email Address Alternative Emergency Contact: First name Surname/family name Home number Mobile Number Email Address Medical information It is your responsibility to make known any medical condition/disability that may affect you during the activity, and any medication that you may require. This information will be shared with those responsible for supervision. Has you ever suffered from any of the following conditions: Asthma/bronchitis, heart condition, fits, fainting or blackouts, severe headaches, diabetes? If YES please provide details, including any specific advice to be followed in an emergency: Do you have any conditions requiring medical treatment, including medication? If YES please specify: Are you allergic to any medications? If Yes, please specify:
Are there any other medications which you may not take? if YES, please specify: Do you have current protection against tetanus? Are you currently suffering/recovering from any injuries which may affect your sailing? If YES please provide details: Please outline any special dietary requirements, clearly indicating any food allergies. Do you have any other disability, learning difficulty or medical condition which may affect your ability to participate in practical or theoretical sessions? If YES please provide details: Can you swim? Are you confident in the water? Declaration of participant: I (Name)... hereby acknowledge that I will read any conditions of participation in RCPYC and RCPYC Ltd activities and that I will ensure that I fully understand them. I am already a member of the Yes / No I understand that sailing can be a hazardous sport. I declare that, to the best of my knowledge, I am fit to participate in the sailing activity. Please give a brief description of your sailing experience (including any certificates attained): Medical consent: I give permission to the RCPYC and RCPYC Ltd to administer or arrange to have administered any relevant treatment or medication when or if necessary. I agree to receiving medication and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion as considered necessary by the medical authorities present. I understand the extent and limitations of any insurance cover provided. Consent for use of images: I grant to the RCPYC / RCPYC Ltd, without payment, the right in perpetuity to make, use and show any motion pictures, still pictures and live, taped or filmed television of, or relating to, any RCPYC / RCPYC Ltd event. I have read and understood any RCPYC / RCPYC Ltd conditions of use of photography/video and conditions of participation/entry and understand that it is my responsibility to keep up-to-date with any conditions. I agree to notify the RCPYC / RCPYC Ltd of any changes to my circumstances, medical or otherwise, that may be of relevance to my participation. I understand that this form may be given to those supervising the activity I am participating in. Signed: (participant)...... Name: (please print)..... Date:...
Come Try Yachting! 1 day This is a taster course for those interested in trying out some yachting. By the end of the day, you will have experienced steering a yacht, sail handling, rope work and be aware of safety on board. Participants can go on to do the RYA Start Yachting Course or RYA Competent Crew course with more confidence. This day can count towards the RYA Start Yachting Course. RYA Start Yachting: 2 days The RYA Start Yachting course is a short introduction to sailing for complete beginners over two days. By the end of the course, you will have experienced steering a yacht, sail handling, rope work and be aware of safety on board. Holders of the RYA Start Yachting certificate can go on to complete the Competent Crew course in a reduced time of three or four days. RYA Competent Crew: 5 days The RYA Competent Crew Practical course is a five day course that aims to introduce the complete beginner to sailing and to teach personal safety, seamanship, and helmsmanship to the level required to be a useful member of a crew of a cruising yacht. The five days can be taken over 2 weekends. RYA Day Skipper: 5 days The RYA Day Skipper Practical course is a five day course for aspiring skippers with some yachting experience and basic navigation and sailing skills. Learn to skipper a short passage with the instructor on hand to give advice and encouragement. Experience being in charge, taking credit when it all goes well and being responsible when it doesn't. The five days can be taken over 2 weekends. RYA Day Skipper Theory or equivalent is required to take the RYA Day Skipper Practical. RYA Coastal Skipper: 5 days The RYA Coastal Skipper course offers advanced skippering techniques for yachtsmen and -women with considerable knowledge of sailing and navigation, wanting to undertake coastal passages by day and night. Five days are needed for this course. Mileage Builder Mileage Builders take place under the supervision of an RYA Instructor and will help develop your seamanship and helmsmanship, while building sea mileage. RYA Navigation Courses Navigation courses are essential for yachtsmen and women. The following courses are offered via the Sailing School: 2-day introductory RYA Essential Navigation and Seamanship Course; 5-day RYA Day Skipper Theory (competency required for the RYA Day Skipper Practical); 6-day RYA Yachtmaster Theory (competency required for the RYA Coastal Skipper or RYA Yachtmaster Practical). It may be possible to offer a theory course before your practical course in a bespoke package for you. Please contact us for details. To discuss your requirements, and for more information, please contact our Chief Instructor Terry Lee, mobile: 07710 647966
ROYAL CINQUE PORTS YACHT CLUB Waterloo Crescent, Dover CT16 1LA tel: 079101-23259 MEMBERSHIP APPLICATION FORM Applicant temp.membership (tick if required) Class of Membership (delete as necessary): 1. Full Single 2. Full Joint 3. Veteran Single (Over 75) 4. Veteran Joint (Over 75) A 35 deposit is required with your application, (a) refundable in the instance of your application not being accepted or (b) set against your first year s subscription. Your application will be posted on the Club Notice Board for 3 weeks and then considered at the following General Committee meeting. Print in BLOCK CAPITALS below Surname(s) (1)... (2)... Forename(s) (1)... (2)... Date(s) of Birth (1)... (2)... Permanent Home Address...... Post Code... Telephone number........ Mobile... E-mail... Vessel... Name... Location... Where did you hear about the Club? 1. I/we consent to the holding of relevant personal data for the purposes of the Data Protection Act. Y / N 2. I/we consent to the use of photographic images taken by the Club for publicity purposes. Y / N 3. I/we consent to the owner's name to be shown in the Members only section of the Club's website. Y / N 4. I/we consent to receive information, newsletters etc. via e-mail whenever possible. Y / N I / We apply for Membership of the and agree to abide by the Rules* of the Club. Signature(s) (1)... (2)... Date... PROPOSER I have known the above for... years and consider him / her / them as desirable candidate(s) for Membership. Name... Signature... Date... SECONDER Name... Signature... Date... The Committee will consider applications where the candidate is unable to provide a proposer or seconder. *A copy of the Rules can be found on the website or ask to see a copy in the RCPYC
ROYAL CINQUE PORTS YACHT CLUB Waterloo Crescent, Dover CT16 1LA tel: 079101-23259 Payments by Bank Transfer for Yacht Training/Courses Please pay by bank transfer to the following bank account: RCPYC Limited Sort Code 20 17 92 Account Number 330 627 59 Terms: Payment due now Please put your name as the reference Cheques should be made out to RCPYC Ltd posted with any forms to: RCPYC c/o 48 Earlsfield Road Hythe, Kent CT21 5PF Thank you