Booking Form – Sailing Therapy

Your name

First

Last

Your company name (optional)

Your phone number

Your eMail

Event Date Requested

Timing

Participant details

Please specify the number of service users, the number of carers and the number of wheelchair users. Please also list the ages of any under 18s.

Photograph permission

I grant permission for Sailing Therapy C.I.C. to use photographs taken on the trip to be used for Sailing Therapy marketing purposes.