The information you provide in this enrolment form will be used solely for dealing with you as a student of the Thames Motor Yacht Club.

The Thames Motor Yacht Club has a Data Privacy Policy, please contact he Club for details.  Your data will be stored and used in accordance with this Policy.

TMYC RYA Training Enrolment Form

Send your enquiries or requests to the Club Secretary via this form.

Replies will be sent to the email address entered, or to a telephone number.

First Name:*
Last Name:*
Telephone:*  - Mobile :
- and/or Home:
Your email address: *   Please check

Date of Birth:*
Course: *
Course start date:   if known
Next of Kin:* Name and address
How did you hear about this course at TMYC?
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Please list any boating clubs of which you are a member
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Are you a boat owner? If so, please give details of boat type
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Health Declaration if you are booking into one of these courses:
-  Inland Waterways Helmsman
-  Inland Waterways Crew
-  Own Boat Tuition
Please reserve me a place on the above course.
I declare that to the best of my knowledge I am not suffering from epilepsy, disability, asthma, diabetes, angina or heart condition and I am fit to participate in the course. Any such illness or medical conditions need not prevent participation in the course but must be notified below.
Relevant medical conditions:
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Agree medical declaration:*

Note that a passport size photograph must be provided, on the day, for the following courses:
- Inland Waterways Helmsman / Crew and SRC VHF Radio

Please enter all items marked  *