Booking Form – Practical and Theory Courses

Fields marked with an * are required

Please enter the details of the first individual you would like to reserve a place for.

 

Please select the course you would like to book onto from either the Practical or Shorebased menus below:


Please enter the details of any second participant.

Please select the course you would like to book onto from either the Practical or Shorebased menus below:


Please enter the details of any third participant.

Please select the course you would like to book onto from either the Practical or Shorebased menus below:


Please enter the details of any fourth participant.

Please select the course you would like to book onto from either the Practical or Shorebased menus below:


Please enter when you would like to undertake the course(s). Depending ont he course, this may be over 5 days or 3 weekends.

1 Day or 5 Days:

Weekends:


Medical Declaration:


Payment Details

which is a deposit of 25% or payment in full for the total course fees within 48hrs of submitting this form, payment will be made by bank transfer, PayPal (info@moonfleet.net) or telephone. Where a deposit payment has been made, I/ We undertake to pay the balance 28 days before the start of the course. Any alterations to this form must be made in writing. I/We have read the conditions of booking and the schedule of payments and agree to abide by them.

To illustrate that you are a real person, please perform the following simple calculation: