Warning: This course is currently booked-out. You may fill-in the form below if you wish to be placed on a waiting-list; we will notify you if - and when - a place becomes available. Selected Course:Tackers 1 - Holiday ProgramSessions: Monday 24th January, 9:00 am - 12:00 pm Tuesday 25th January, 9:00 am - 12:00 pm Thursday 27th January, 9:00 am - 12:00 pm Friday 28th January, 9:00 am - 12:00 pmPrice: $280.00SYC Member Price: $260.00Participant DetailsFirst Name: *Last Name: *Date of Birth:dd01020304050607080910111213141516171819202122232425262728293031mmJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberyyyy20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901Gender Female Male (PH) Home:(PH) Work:(PH) Mobile: *Email Address: *Street Address: *Suburb / Town: *Postcode: *State: ACTNew South WalesNorthern TerritoryOutside AustraliaQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia Referrer: -- Bayside Directory Friend/Relative Internet Other Previous Participant School Group School Newsletter SYC Member SYC Website Australian Sailing Number: Click here to search for your AS numberMedical DetailsEmergency 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: