Clever Clipper
APPLICATION FORM
Sailing Course, Portimão, Algarve
Clever Yachting
DECLARATION:

I declare that to the best of my knowledge I am not suffering from Epilepsy, Giddy Spells, Asthma,  
Diabetes, Angina or other heart condition or any disability and am fit to participate in the course  
applied for. (If you do suffer from any of the above this does not necessarily preclude you from  
participating but we need to know about it.)

I have also read and accept Conditions regarding Payment, Cancellation, Liability and Personal Insurance

PAYMENT

When sending your application form a deposit of 25% is required. The balance of the amount due has to
be paid 30 days before your course begins. Payment can be made by bank transfer or cheque. See
payment information below.
When we receive your payment we will contact you by email/letter to confirm the course dates.

CANCELLATION

In the event of a student cancelling a course 28 or more days prior to the commencement of the  
course, every effort will be made to resell the course. If the course is resold the student will be liable for  
10% of  the course fee by way of a handling charge. If the course is not resold the student shall be  
liable for 25% of the course fee (i.e. The deposit).

If the student cancels a course between 14 and 28 days before the commencement of the course, the  
student shall be liable for 50% of the course fee.

Should the student cancel less than 14 days before commencement of the course then the full course  
fee shall be payable.

LIABILITY

Clever Yachting or any of its employees or any person subcontracted by us shall not be liable for loss or  
damage to students' property nor for any injury or illness suffered by any student for whatever reason
or cause.

PERSONAL INSURANCE

Clever Yachting makes it obligatory for every student to have a personal accident insurance, including
third party liability.




Payment by transfer:                                           Payment by cheque:
BCP Millennium  (Vila Nova de Milfontes)               The amount has to be increased
Account name: Clever Yachting                             by € 10 handling costs.      
Iban: PT50003300004530823692305                  Cheque to be made out to:
Swift code: BCOMPTPL                         
                 Clever Yachting

Clever Yachting
Apartado 101
8401-902 Lagoa
Portugal
Mobile: (+351) 916 350 182 or
   (+351) 916 888 086
Efax:    (+1) 801 469 0813          
                                                                             Back to: courses
Email:  Clever.Yachting@gmail.com
First Name
Last Name
Address
Area Code
City
Country
Mobile
Phone Home
Email
Date of Birth
Male
Female
Nationality
Qualifications
Sailing experience
Which course(s) would you like
First preferred course date
Second preferred course date
(Courses begin Monday to Friday)
No
Free accommodation for a second
person
Yes
No
Yes        
Car rental (from and to the Airport)
See Price List
Please enter/sign your name
Today's date
Comments or questions