Learn to Sail - Application Form for - Beginners Level 1 or 2 and Advanced courses
First Name
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Surname
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Street address
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City
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Your Email Address (*)
please make sure its a valid email address i.e. info@learn2sail.co.nz
Home Phone Number
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Mobile Phone Number
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Type of course
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Experience
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Please select course start date
Please enter your course start date
PAYMENT is now due. We will email you the deposit details automatically when you press submit.
Are you able to swim 25 m in the sea with a buoyancy aid? (*)
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Do you have any medical condition that may affect you while Sailing?
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Submit