Start Helming

Selected Course:

Start Helming - Sunday Courses
Sessions:
- Sunday 20th October, 9:00 am - 4:00 pm
- Sunday 27th October, 9:00 am - 4:00 pm
Price: $380.00
SYC Member Price: $360.00

Participant Details

First Name: *

Last Name: *

Date of Birth:

Gender

(PH) Home:

(PH) Mobile: *

Email Address: *

Street Address: *

Suburb / Town: *

Postcode: *

State:

Referrer:

Australian Sailing Number:

Click here to search for your AS number

Medical Details

Emergency Contact:

Emergency Contact (PH):

Do you have or had any of the following conditions:

Asthma	Hepatitis B	Heart murmurs
Epilepsy	Diabetes	Hernia
Hepatitis A	Heart Problems	Other

Do you have any allergies?	No	Yes:
Do you take regular medication?	No	Yes:
Have you had a serious injury in the last five years?	No	Yes:

Are you a SYC member?


Surname	Membership Number

You will require this to be eligible for the Member discount.

Do you have a Voucher?

If you have a SYCBA voucher, please enter its unique code. In case the voucher does not cover the full cost of the course, please make sure you have selected one of the payment methods below to cover the remaining amount.

Payment Type:

Please note that the facility to charge your membership account is only available for Senior, Associate and Intermediate members. For all other membership types and non members, please pay via credit card.

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