Clywedog Sailing Club Training Registration Form

FEVA Winter Training

Name of Course / Feva Winter Training Weekend / Date(s)
Sailor’s Details
Sailor’s Name / Age (if U18)
Class of Boat and sail number / Are you using a club boat / Yes / No
Emergency Contact during the course / Name
Telephone number / If over 18
Do you need to complete a medical declaration? / Yes / No
If yes please complete form and seal in envelope provided.
Address / Phone
Email
Please return this form to
Mary Gowers
Cae’rWyn
Graigfechan
Ruthin LL15 2HB
Please enclose a cheque for £40 made payable to Clywedog Sailing Club
or pay by BACS to
Bank : HSBC,sort code 404130 Acc.No. 61339443
(Please ensure that that you reference your name and the word FEVA ).
PTO for Risk Awareness Declaration –
In order for the sailor to take part in the course you will be asked to sign a copy of this declaration on the first day of the course.

Declaration

Risk Awareness

It must be recognised that sailing is by its nature an unpredictable sport and therefore inherently involves an element of risk. By taking part in the event, you agree and acknowledge that:

  1. You are aware of the inherent element of risk involved in the sport and you accept responsibility exposing yourself to such inherent risk whilst taking part in the event;
  2. You will comply at all times with the instructions of the Race Officer/Beachmaster and other officials particularly with regard to handling of boats, wearing of buoyancy aids and the wearing of suitable clothing for the conditions;
  3. You accept responsibility for any injury, damage or loss to the extent caused by your own negligence;
  4. You will not participate in the event whilst your ability to skipper or crew a dinghy is impaired by alcohol, drugs or whilst otherwise unfit to participate ;
  5. The provision of patrol boat cover is limited to such assistance, as can be practically provided in the circumstances.
  6. RYA Instructors, RYA Senior Instructors or RYA Coaches do not accept responsibility for any loss, damage or injury suffered by persons and/or their property arising out of or during the course of their activities whilst training and/or coaching and/or instructing unless such injury/loss or damage was caused by, or resulted from negligence or deliberate act.

Photographs

We will take photos/video of sailors for publicity purposes, including for use on our own website. If you object please tick here ____.

If aged 18 or over

Signature: …………………………………..

PARENT OR PERSON ACTING IN LOCO PARENTIS AT THE EVENT

If the person(s) named above is/are under 18

I have read and understood the Risk Awareness information and give permission for ...... to take part in ……………………………………. (name of course).

I will be responsible for them throughout the event.

Name: ………………………. Mobile No: ……………………Signature…………….…