Loading...

Courses & Dinghy Hire Registration Form


I acknowledge that the named participants will be involved in adventurous or strenuous activity and accept that there are risks in doing so. I will ensure that the named participants comply with the conditions of participation detailed in this form and in the Hydro Abersoch booking terms and conditions which are incorporated into this form and can be found at www.abersochhydro.com. I confirm the named participants are at least the minimum age specified on the Hydro Abersoch website for the activities they will be taking part in and that the proposed activities are within their abilities.

I agree that that the named participants will undertake the activity/activities in accordance with the specific oral and written instructions and advice given before and/or during the activity/activities, failure to do so may result in serious injury or death. 

I confirm that to the best of my knowledge no named participant has an undisclosed medical condition which is likely to increase the chance of being involved in an incident, resulting in injury to them self or others. I acknowledge that Abersoch Hydro reserves the right to refuse to allow participation in certain activities if a declared medical or other condition is considered detrimental to the safety or smooth running of those activities.

I understand and accept that the nature of the activities may result in damage to clothing.

Participants are expected to be responsible for their own belongings. In the event of an accident, or loss, or damage to personal effects, I acknowledge that Abersoch Hydro will not be liable for any direct or indirect loss, damage or injury arising from or in connection with the Activity/Activities (except for death or personal injury caused by the negligence of Abersoch Hydro) and on behalf of all named participants waive all and any claims against Abersoch Hydro in this respect. 




First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Parent or Guardian's Email Address

Email*

Confirm Email*
Tick to receive information, news, and discounts by e-mail. Your details will not be passed onto any third party.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Home Address

Home address *

Post Code *

Abersoch Address *

Post Code *
How did you hear about us?*
Any medical conditions?*
Yes
No

If yes please give details...

Course/Hire Start Date *
Please select service(s) *
RYA Level 1 Sailing
RYA Level 2 Sailing
RYA Level 3 Sailing
1 Hour Sailing Lesson
2.5 Hour Sailing Lesson
Little Pirates Kids Club
Joyride
RYA Powerboat Level 2
Hire Funboat
Hire Pico
Hire 2000
Hire Dart 16
Other
Photographs and video clips may be taken by the centre and may appear in marketing materials or on social media. If the named participants DO NOT wish to be photographed or filmed for this purpose, please select this box
Click Here
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!