Membership Application and Sailing/Course Registration

All Students need to be registered as club members for training.

Form use. Membership or Change in contact details

Membership Type Required

Existing Membership Number

Member Category Required:- Single/Joint/Family

Title 1

First Name 1

Surname 1

Email 1

D.O.B 1

Title 2

Enter "None" if not appropriate

First Name 2

Enter "None" if not appropriate

Surname 2

Enter "None" if not appropriate

Email 2

Enter "None" if not appropriate

D.O.B 2

Enter "None" if not appropriate

Address 1

Address 2

Address 3

Enter a full stop " . " if not appropriate

Address 4

Enter a full stop " . " if not appropriate

Post Code

Home Tel. No

Mobile Tel. No.

Your are signing to accept the Island Cruising Club Terms and Conditions. https://www.islandcruisingclub.com/island-cruising-club-conditions-and-membership

Signature By

Confirmation of Signature

Select to Confirm signature

Date (DD/MM/YY)

Course Registration Form (one for each student)

Please complete the following membership application form and this will be given to the instructor for the course

Title 1

First Name 1

Surname 1

Email 1

D.O.B 1

Address 1

Address 2

Address 3

Post Code

Home Tel. No

Mobile Tel. No.

RYA Qualifications Held

Emergency Contact Details :- Name

Emergency Contact Details:-Tel. No.

Emergency Contact Details:-email

Course Start Date if booked

Course Required if booked

Any Medical conditions that could affect sailing/training for any member

Any food Allergies for any member

Food Allergies{summary}

Can you Swim 50 meters (Yes/No)

No. of years Yacht Sailing experience

No. of days Yacht Sailing in last year

Emergency Contact Doctor:- Name

Emergency Contact Doctor:- Tel No

Your are signing to accept the Island Cruising Club Terms and Conditions. https://www.islandcruisingclub.com/island-cruising-club-conditions-and-membership

Signature By

Confirmation of Signature

Select to Confirm signature

Date (DD/MM/YY)

Island Cruising Club of Salcombe

All Students need to be registered as club members for training.

Course Registration Form (one for each student)