Sailing lesson student information form Please enable JavaScript in your browser to complete this form.Tasman Adventures Participant Information FormPlease fill in your details below to complete your registration for your RYA course with Tasman Adventures!What are you coming to do with Tasman Adventures? *What date does your 'course' start? *How did you hear about us?Through a friendWeb searchWeb advertOtherYour DetailsYour Name *FirstLastDate of Birth *We're not interested in your age, this is just a unique identifier for our records!Email *EmailConfirm EmailAddress *Address Line 1Address Line 2CityState / Province / RegionPostal CodePhone *Next of Kin DetailsNext of Kin NamePlease don't put a person here who is on the course with you!Phone numberHealth DeclarationAlthough illness or medical conditions should not prevent you from taking part in this course, we must be aware of any issues that we may need to help you overcome. If you are in any doubt about your fitness to take part in this course, your GP should be able to advise you further.Please give details of any medical condition or current treatments *Please type "Nothing" if you have nothing to tell us!If you suffer from epilepsy, giddy spells, asthma, diabetes, heart condition or anything else you think may affect you during your course, please provide details below:Medical Declaration *I have read and understood the above statements and declare that to the best of my knowledge I am fit to participate in the course!About YouSailing/Sea ExperienceLet us know a little about your background so that we can tailor the course to your experience!How far can you swim?I can't swimI could probably swim a width in a swimming poolI can swim more than a width of a swimming poolThis will not effect your course in any way: It's just so that we don't get any surprises during your 'course'Photo permissionsI grant to Tasman Adventures, its representatives and employees the right to take photographs of me in connection with Tasman Adventures courses and programs. I authorize Tasman Adventures to copyright, use and publish the same in print and/or electronically.You can take pictures of me and use themI agree that Tasman Adventures may use such photographs of me with my name and for any lawful purpose, including such purposes as publicity, illustration, advertising and Web content.You can use my name with picturesThe above information including the questions as to your health and ability will be used by us to process your booking for the course and for attending to your safety whilst you are on our courses. Names and addresses of candidates for RYA and AS courses will be shared with those entities for the purposes of registering your certificate. This data will not be shared with any third party for marketing or commercial purposes without first obtaining your explicit consent. *I have read and understand the above statement.CommentSubmit Form