ULSAC Signup Form

Signup Form

for Easter Training 2010, 01 Apr 10 - 11 Apr 10

Please fill in the details in the form below and click "Sign me up".

£150 deposit to Training Team needed to guarentee place!

Name
Email address
Telephone
ULU Number
ULU Membership Type:	Full Associate
Current/Attended College

Diving Grade
Instructor Grade
Are you a club boatie?	Yes No
Do you have a car?	Yes No
Car capacity, incl driver
Can you tow the club RHIBs?	Yes No
Do you have a tent? (if applicable)	Yes No
Tent capacity (if applicable)
(Close) Your next of kin must be an appropriate relative and a person who is not on this trip.
Next of kin name
Next of kin telephone
*Next of Kin details are mandatory for successful signup to the trip. By signing up you agree that the trip organiser will hold Next Of Kin details for the duration of the trip, then destroy them.

Club equipment required
Dietary requirements
Additional notes to trip organiser

Accomodation preference (mixed room vs single sex room, and any other preference):