DOVER SEA SCHOOL APPLICATION FORM - Page 2
Please read the information on the web site before
completing this booking contract
Your answers to these questions are for safety
and do not affect you attending the course
I/We
can swim 50 metres in light clothing |
YES / NO |
SPECIAL REQUIREMENTS - Is any member of the group suffering from
Epilepsy, Disability, Giddy Spells, Asthma,
Diabetes, Angina, or Heart Conditions. |
YES / NO |
Or any special health considerations
|
YES / NO |
Or needs for Special Medication |
YES / NO |
Or requires a special Diet (please
specify) |
YES / NO |
Are there any special requests or details
for our attentions? |
YES / NO |
ADDITIONAL
NOTES_________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
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Emergency
contacts ashore during the course:
Name:
_________________ Relationship __________________ Tel no's. ___________
Name:
_________________ Relationship __________________ Tel no's. ___________
Name:
_________________ Relationship __________________ Tel no's. ___________ Name: _________________ Relationship __________________ Tel no's. ___________
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I/we are fit to participate in the course
activities and I/We are willing to comply with all safety regulations and
conditions of booking. I/we have read the terms and conditions attached. My/our
signature implies acceptance of these terms and conditions.
The person so signing has the authority of the other persons included on this
booking form to accept the terms and conditions and to make the booking on
their behalf.
Signature/s
__________________Name ____________________ Date ___________ |
TERMS AND CONDITIONS --
All contact/enquiries/queries are to be made through the
DSS officel. If required they can be addressed directly
to the School Principal - Michael Oram. The Principal is responsible for the
overall safety and running of the school although he may delegate some
responsibilities to the school instructors and staff. Alternative contact can
be Angela Oram +44 (0) 1843 852858 or Tanya Harding +44 (0)1843 580185 or Lance Oram, Chief instructor on (mobile
07768837793)
1. We reserve the right to
modify or cancel any course at our discretion and we shall not be liable for
any loss, damage, delay or inconvenience resulting there from. Any cancellation
by us due to circumstances beyond our control will limit our liability to the
return of the fees and /or deposits already paid to the school or their
transfer to an alternative booking. 2. The school
reserves the right to retain deposits and fees paid in the event of the clients
cancellation at any time prior to the start of the course.
INSURANCE The school craft are insured for
accident & third party liability. No responsibility is accepted in any
circumstances for the personal effects or the illness medical conditions or delays of the clients
/ pupils. The clients / pupils agree to indemnify the school and its
instructors and staff against any liability claim whatsoever.
Personal travel insurance and a European Health card are
recommended. EHIC can be applied for online at www.dh.gov.uk/travellers the web
site explains the national health agreements with other countries. They must be
completed before departure. |
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