Yachtmaster training course application

Your name

Your email

Your phone number (mobile)

Your date of birth

Tell me about your sailing experience. Include mileage, position held on board and all relevant details including conditions encountered.
Also mention any relevant qualifications and certificate (including first aid, STCW, VHF licence, etc.)

Do you have any medical condition (such as diabetes, epilepsy, asthma, allergies, etc.), or any injury, past or present, that may affect your ability to safely sail offshore. Do you have a history of substance abuse (drugs or alcohol)? Have you ever suffered from depression or any psychiatric disorder? Are you currently on any medication?
Do you require a special diet?
Tell me more about you, and why you'd like to take part on this course. Mention if you are hoping to get your Yachtmaster commercially endorsed and why
Is there anything else I should know to assess your application?

Your proposed contribution to the cost of this course €)