BOOKING FORM                       29 th S.B.A TRENT EVENT               
                                    at Trent Valley Sailing Club   3/ 4 / 5 th July 2015 
Name:	Number in party:	
Address:

                                                          Post Code:	Telephone No:

Mobile No:	
New Member (within last 12 months) Yes / No
Overseas Member  Yes / No	Email:	
Boat Name:	Length:                                 Beam:	
Launching:    Thursday/ Friday / Saturday / Sunday		
Boat Passenger Spaces:        Required / Available	Saturday:                              Sunday: 	

Temporary Club Membership	At £ 6.00 each adult	No:	

Mooring	At £ 6.00 each boat	

	Numbers Required		
Friday Evening Buffet		at £   9.00 each adult	
Saturday Evening Supper
(Specify any special dietary requirements)		at £   16.00 each adult	
The Communal Breakfasts
	 for Saturday & Sunday 	included!	
		Total:    £	
Accommodation list, please tick if required..... Map of location, please tick if required......          Please, make cheques payable to: J.B.Tilley                                  
                                 Standard SBA Declaration
SAFETY
All boats taking part in S.B.A. Events must carry appropriate safety equipment, including paddles or oars, anchors and warps, fire fighting equipment and first aid kit including burn treatment. Non-swimmers should wear buoyancy aids & any others required to do so by the boat owner. (Passengers are responsible for supplying their own buoyancy aids.)
DECLARATION
I……………… warrant and undertake that during this TVSC event, 4/5/6 July 2014, my steam vessel ………………………………………..will have valid boiler certification issued by a competent authority and that I will also have in place an insurance policy to provide third party liability cover in respect of any loss or injury howsoever caused by me or my vessel.
I agree to fully indemnify and hold harmless the SBA and Trent Valley Sailing Club from any liability whatsoever, in respect of any loss or injury caused by me or my vessel.
Boiler inspection certification issued by: ………………………………....................................................................................................
Boiler inspection certification valid until: ………………………………..................................................................................................
Insurance policy issued by: ………………………………..........................................................................................................................
Insurance policy valid until: ………………………………........................................................................................................................
If your present boiler certification or insurance is not valid for the dates of this event or has not yet been arranged, you must provide the SBA Organiser with updated details in writing of insurance and boiler certification before your boat can take part at the event. All participants at this event must conform to the SBA published requirements for boiler inspection, insurance and safety. Details of these are available on request from the SBA Event Secretary. In making this declaration I confirm that I fully understand the implications of making an incorrect or false statement.

Signed:  ………………………………................................................ ………………… Dated: ……………………………….................
Note that at the end of the season the SBA will undertake random checks of boiler certification and insurance details provided to ensure the system is operating effectively. The SBA would take a serious view if a declaration were found to be false. 
    
 Please, also return booking form by June to:
John Tilley 230 Hermitage Road, Whitwick Leicester LE67 5EH tel: 01530 814 224 or mobile 0780 164 0175