Booking Form
Instructor Revalidation Workshop
Complete and send to ISA
Workshop (Delete as appropriate)
Small Boat Sailing Scheme / Powerboating Scheme / Go! Windsurfing Scheme
Date of Course
Course Code
Venue
Your Contact Details
Name
Address
Email
Mobile Phone
Alternative Phone
ISA ID Number
Emergency Contact Details
Next of Kin
Relationship
Address
Mobile
Alternative phone
Medical & Other Details
Please provide details on any medical or other conditions / special requirements about which we should
know?
Signature
I hereby apply for a place on an ISA Instructor Revalidation workshop. I have read and accept terms and conditions.
Signature
Payment
Date
Places will not be booked or confirmed until full payment is received
Tick
Current ISA members (includes Cat. 1 Club members)
Non ISA members
Please attach proof of membership
Includes renewal of ISA membership
Payment
options
Shop Order Number
Online Shop
www.sailing.ie >> Shop >> ISA Events
Cheque / Postal Order
Credit card
Enclose payment to “Irish Sailing Association”
Use details below
Card Number
Expiry date
Security Code (last 3 digits from number on the back of credit card)
Card holders name if different from above
Card Holders Signature
€70.00
€116.00
I Authorise the ISA to debit amount of:€
Irish Sailing Association, 3 Park Road, Dun Laoghaire, Co. Dublin
01 271 0114 – training@sailing.ie – www.sailing.ie
Now you need to…….
Accommodation & food
This booking does not include accommodation or food. Where required, arrangements for these need to be made by
you separately.
The ISA Training Centre Hosting the event will usually be able to provide details on what facilities are available
locally.
Administration
Instructor Log
Bring with you to the workshop a log of your time teaching on relevant ISA training
courses. Details on minimum required hours are included
These should be recorded in the Instructor logbook pages in the back of your
Instructor Handbook.
Emergency Care
Bring to the Workshop a current Emergency Care Certificate
Proof of Membership
Bring to the Workshop proof of current ISA Membership or proof of current
membership of an ISA Cat. 1 Club.
Garda Vetting
Have completed and passed Garda Vetting with the ISA within the last 12 months
Details on date of last Garda Vet available on;
- www.sailing.ie >> My ISA >> My qualifications
Garda Vetting form available at
- www.sailing.ie >> Training & Certification >> Resource Library
Personal Skills & Knowledge
During the Revalidation you may be asked to demonstrate any or all of the skills and knowledge included in the
Instructor Pre Entry Assessment for your highest level Instructor qualification. If it is a while since you last practiced
these, please do so before the Workshop
Terms and Conditions
Participants on this workshop and associated activities do so on the understanding and acceptance that watersports
are an adventurous activity and as such will always carry some inherent risk. And that while the ISA, it’s employees
and contractors will take every precaution to ensure their safety, some risk to participants will always remain.
While every effort will be made to run the workshops and activities as described the ISA may cancel, curtail or
reschedule all or part of a workshop. In the event that this happens; those booked onto a course will be offered
paces on an alternative workshop or a refund on fees paid. No other obligation will or shall be placed on the ISA.
In the event that a candidate cancels a booking or does not take up the place; the ISA may at its discretion retain the
full fee paid. This would ordinarily only be done where the ISA is unable to fill the place.
Irish Sailing Association, 3 Park Road, Dun Laoghaire, Co. Dublin
01 271 0114 – training@sailing.ie – www.sailing.ie