Fields marked ( * ) are required

Your Name: * (in block letters)
Membership Number: (if applicable)
NRIC/FIN/BC Number: *
Date of Birth: Date Month Year
Contact Number: *
Home Address: *
Postal Code: *
Age:
Sex:
Email Address: *
BSC Date for 2017: *
Course Fees: *

*The BSC duration comprises of 2 consecutive weekends: 2 x half Saturdays + 2 full Sundays.

DECLARATION

  1. I declare that I am physically fit.
  2. I declare that in enrolling for and participating in this course at the SAF Yacht Club, I will not hold the Club, its instructors and employees liable for any accident, loss, damage or injury suffered by me during the conduct of the course, whether such accident, loss, damage or injury should occur ashore or afloat.
  3. I hereby confirm that I participate in this course solely at my own risk and indemnify the SAF Yacht Club, its instructors and employees in respect to any claims arising from the course.
  4. I understand all payments made are non-refundable. I also understand that there will be no make-up lessons should I fail to attend the course.

Parents / Guardian´s Particulars (Only for applicant below 21 years old)

Parent´s Name:
NRIC/FIN/BC:
Guardian´s Name:
NRIC/FIN/BC:
Residential Address:
Contact Number:
Email Address:

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