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How to Book

Please use the web form below to make your booking or download and print a PDF or Word version of the booking form and post to: Island Youth Water Activities Centre (IOW) Ltd., Whitegates, Arctic Road, Cowes, IOW, PO31 7PG

Download PDF Booking Form  |  Download Word Booking Form

If you do not already have an Acrobat reader it is a free download from here.
 


Please read booking conditions before submitting form

 

COURSE REQUIRED * required information
Course Title: *
Course Code:
Course Price:
Course Dates: *
   
PARTICIPANT INFORMATION
Mr/Mrs/Ms/Miss
Name: *
Male/Female
Date of Birth:
Address:
Daytime Tel.:
Evening Tel.:
e-mail: *
School Attended (if currently in full-time education):
Participant’s Next of Kin:
Contact Tel.:
   
HEALTH DECLARATION  
Please give information about any current medical treatment, illness or medical condition (e.g.Asthma, Epilepsy, Diabetes, Giddy Spells or Heart Condition).
If none please write "None”.
*
 
CUSTOMER INFORMATION
Customer Name (If different from participant):
   
DECLARATION
I have read and agree to the booking conditions. If the participant is under 18 years of age this must be signed by the parent or legal guardian.
If you are booking for a child how will they leave the Centre at the end of activities? Collected Make their own way home
   
Can we have your permission to photograph or video your child for training purposes for marketing purposes? *

 

 

 


© 2012 Island Youth Water Activities Centre, Whitegates, Arctic Road, Cowes, IOW, PO31 7PG
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