IKSA Coaching Weekend - Jo Wilson Coaching

Thank you for booking a place on to the Customised IKSA Coaching Weekend from 4-6th October 2014. To be able to take part please fill in the booking form below by 30th August 2014.

Name:
Email:
Address:
Contact Number:
Date of Birth:
BKSA / IKSA Number:
Location of Customised Coaching:
Date of Customised Coaching:
Do you have a medical condition? If yes please give details:
Do you have any special dietary requirements? If yes please give details:
Are you allergic to anything? If yes please give details:
Outbound Flight Number, Date and Time if applicable:
Inbound Flight Number, Date and Time if applicable:
Travel Insurance Company and Policy Number if applicable:
Name and number of person to contact in case of emergency:
What is your current riding level?:
What equipment do you have with your for the trip with regards to the boards and kites? (Brands and sizes):
What is your aim within kitesurfing for the future?:
What would you like to work on within the trip?:
Are you keen to be woken up each day before breakfast for an early morning jog and stretch to brush off the cobwebs?:  Yes No Don't mind
Are there any activities you would particularly like to do on this trip?:
Are you particularly keen to have some time to yourself as well as with the group?:  Yes No Don't mind
Do you have a favourite kitesurfer whose style you really like?:
Is there any other information that you think I should know to ensure you gain the best from your trip?:

To continue with your booking you must agree to the Terms & Conditions
If you agree please tick this box:
You will not be able to submit the form until you check the above box.