This form can be printed and sent to the address at the bottom of the page.  Alternatively, copy and paste the form into an email, enter your details and email to the address below.

Full Name:


Tel. Daytime: Tel. Evening:
Date of Birth: Nationality: Email:
Course Title: Dates:
Sailing Experience & Qualifications:
Next of Kin (Person we should contact if you have a serious accident or illness): Please give details of any relevant medical conditions or treatments. If none, write “none”.
The terms & conditions below will be included in every contract between you the student and the Crouch Sailing School. By signing the booking form you will be accepting the terms & conditions as set out below and on our Terms & Conditions page.

  1. Bookings must be made on our booking form and sent with the required booking fee.
  2. Cancellation: The Crouch Sailing School reserves the right to cancel any course due to circumstances such as adverse weather and if this occurs, will offer you alternative dates. Cancellation by you must be given 28 days prior to the start date of the course in which case you will receive a full refund. Note that unless cancellation is received in writing by this time no refunds will be given.
  3. Fees: A 50% deposit will be required at the time of booking and the balance due not later than 28 days prior to the course start date.
  4. Health: All students booking courses with the CSS must advise us of any medical condition or disability, if in doubt please contact your GP for advice.
  5. Personal property: The Crouch sailing school will not accept responsibility for loss or damage to your personal property.
  6. Insurance: All students are advised to have their own insurance cover for personal injury, their property and cancellation.
  7. Diet: Please inform us of any special requirements.

NB. you may wish to make a copy of this booking form for your own files.

50% Booking deposit £……………. The balance of £………………. is due by …………………..
Note that payment is by cheque or bank transfer only. We do not accept cards or cash.
Cheques payable to Desmond F Purcell YM and returned to (POSTAL ADDRESS ONLY):

44 Petticrow Quays, Belvedere Rd, Burnham on Crouch CM0 8JA

Tel: 07557 474160

Or payment by bank transfer to Desmond F Purcell YM:

Account number: 04013931
Sort code: 30-91-85

I declare that I am fit to participate in this course.