Mannering Park Amateur Sailing Club Inc

ADULT LEARN TO SAIL PROGRAM

Course Details: Each Saturday starting 19th October till Saturday 21st December commencing at 11.00am and finishing at 1.00pm each day
Participants Details (please provide a separate form for each entry)
Name
AgeDOB
Parent/Guardian Name
Address
SuburbPostcode
Phone Number
Email Address
Alternative Email Address

Parent/Guardian authority form (to be completed if participants are under 18 year of age)
I (Parent/Guardian)give permission for
Name
to participate in the MPASC Start Sailing 1 & 2 course
Indemnity
Name (please print): (on behalf)
hereby release Mannering Park Amateur Sailing Club Inc. or representative thereof, from any claim or demand that I/we may have or deem to have on my/our behalf arising out of the MPASC Start Sailing 1 & 2 course and indemnify Mannering Park Amateur Sailing Club Inc. or any other representative thereof against any claim that may be made.
 
I understand that photos may be taken during the course and uploaded to the club website. Please advise the Instructor on the day of the course if you don’t wish photos to be taken of your child.
 
I agree to be bound by the above Indemnity terms and conditions.
Dated 25/04/24
Please advise health, dietary or cultural issues which you feel are relevant the participant’s application
Payment

(Please select your payment option) $120.

Direct to Bank - Mannering Park Amateur Sailing Club Inc - BSB: 062 832 ACC#: 10225462

(Please use your surname as the payment reference)

Payment Amount
Payment Reference


Mannering Park Amateur Sailing Club are very proud to be partnered with these Businesses

                 Doylo
Trinity Point
DC Air
                 Phillips Sails
Reach Marine Services
Marine Outlet
 
Best Signs
 
Berkeley Vale Steel