Registration Form

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Click here to read the Terms & Conditions

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Name *

First

Last

As appears in your passport

Email *

Phone Number *

Address *

Used for customs and posting study support materials

Date of Birth *

Used for clearing through customs

Nationality *

Used for clearing through customs

Passport Number *

Used for clearing through customs

Occupation *

Used for clearing through customs

Emergency Contact Information *

Include full name, relationship to you and contact phone number

How well can you swim?

Selected Value: 0

0 = Non swimmer 5 = Strong swimmer

Details of any medical condition or treatment being received *

If none, write N/A

Special Dietary Requirements *

For example: Gluten-free, dairy allergy, vegetarian or vegan etc.

Booking Type *

• Recreational RYA Sailing Courses
• Crewed Yacht Charter Vacation
• Mile/Experience Building Charter
• Professional RYA Yachtmaster Training

Cabin Preference *

• Private Cabin - Single Occupancy
• Private Cabin - Double Occupancy
• Saloon Berth - Single Bunk

RYA Course/s you would like to book

Name each course you would like to enrol for. Leave blank if you are booking a charter vacation or mile building charter.

Previous Sailing Experience and/or Certifications *

Travel Insurance Details

Used in the unlikely event of an emergency

Flight Arrival Details

Operator, flight number, date and time of arrival. If unknown, leave blank.

Flight Departure Details

Operator, flight number, date and time of departure. If unknown, leave blank.

How did you hear about us? *

• Word-of-mouth
• Internet search
• Advertisement
• Social Media

Additional Information

Please provide any information that you feel will assist us with your registration.

Medical Declaration: I declare that to the best of my knowledge, I am not suffering from epilepsy, disability, giddy spells, asthma, diabetes, angina or other heart conditions, and am fit to participate in the course. (The conditions listed do not necessarily preclude you from the sailing but please let us have details to let us know that you are medically fit to sail.) *

First

Last

Please type your name

Assumption of Risk: I understand that sailing and boating involves certain inherent risks; including but not limited to loss at sea, serious injuries and death. I further understand that the sailing trips which are necessary for training and for certification may be conducted at locations that are remote, either by time or distance or both, from emergency services and rescue. I still choose to proceed with sailing. *

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Last

Please type your name

Data Protection Consent: I consent to Grenada Bluewater Sailing keeping my personal information on file for 12 months, after which it will be destroyed and deleted from record. *

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Last

Please type your name

Booking Declaration: I certify that I have read and agree to the Terms & Conditions and that my booking is made upon and subject to those terms. *

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Last

Please type your name

Submit

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