RYA Powerboat Registration Form

Click here to read the Terms & Conditions

You can use the following form to register for your RYA Powerboat Course. Please be advised that your booking is not confirmed until payment is received.

Name *

First

Last

Email *

Phone Number *

Address *

Which course/s are you enrolling on? *

Powerboat 1
Powerboat 2
Combined Powerboat 1 & 2

Name of Accommodation in Grenada *

Date of Birth *

Emergency Contact Information *

Include full name, relationship to you and contact phone number

How well can you swim?

Selected Value: 1

0 = Non swimmer 5 = Strong swimmer

Details of any medical condition or treatment being received *

Previous boating experience and/or certifications *

Health/Travel Insurance Details

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 course but please let us have details to let us know that you are medically fit.) *

First

Last

Please type your name

Assumption of Risk: I understand that boating involves certain inherent risks; including but not limited to loss at sea, serious injuries and death. I further understand that the boating 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 the course. *

First

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. *

First

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. *

First

Last

Please type your name