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# 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.