The Powerboat Academy

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Booking Form

Please do not enter any credit card or payment details - We will contact you shortly after receiving your form.

Full Name

Email Address

Telephone Number

Address line 1

Town

City/County

Post Code

Age (If Under 18)

Course Date (dd/mm/yy)

Course Title

Using own boat?

Yes No

Address whilst in Pentewan

Telephone Number

Have you previous experience

Yes No

Do you require waterproofs?

Yes No

If so what size?

Have you read health declaration?

Yes No

Agree with terms & conditions?

Yes No

Emergency contact name

Emergency phone number

Is this a return visit?

Yes No

Agree to our Booking Conditions?

Yes No

Where did you hear about us?

Rate our web site

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