(simply print out this form and send it to the Centre at the address below with your cheque)
Southmere Boating Centre
Course
Application Form
| first name: |
| surname: |
| address inc.
postcode: |
| home tel. no: |
| mobile no: |
| email address: |
| course title: |
| start date: |
| any medical
condition that might affect you during the course: |
| amount enclosed
(cheques payable to Greenwich Council): |

