Exit this survey

ISA Laser 4.7
Spring/Summer 2013 Application Form

1. Contact Info

Question Title

* 1. Name of Parent or Guardian

Question Title

* 2. Name of sailor

Question Title

* 3. Address

Street 1

Street 2

Street 3

Town

County

Post Code

Question Title

* 4. Telephone Number

Home

Mobile

Question Title

* 5. E-mail Address

Question Title

* 6. Please fill in the following details on your child

Age

DOB

Height in cm

Weight in kg

Question Title

* 7. I confirm I have read and understood the GUIDELINES FOR SELECTION OF THE ISA Laser 4.7 Squad 2013

Yes

No

Question Title

* 8. I confirm that my child will commit to at least 80% attendance of the squad activity

Yes

No

Question Title

* 9. I confirm I have travel insurance for my child

YES

NO

Question Title

* 10. I confirm I have an E111 for my child.

YES

NO

Question Title

* 11. I confirm I have sent a completed copy of the Medical Consent form in with this application.

YES

NO

Question Title

* 12. I confirm I have sent a copy of my child's passport

YES

NO

Question Title

* 13. I confirm that I have sent €700 to the ISA

Yes

No