Cooking with Rosie enrolment form

Surname……………………………………………………………………………… Title …….…………………

Forename(s) …………………………………………………………………….……………………………………

Home phone ……………………………………………………… Date of birth…….………………………

Address …………………………………………………………………….……………………………………………

…………………………………………………………………….…………………………………………………………

……………………………………………………………………………… Postcode………………………………

Email ………………………………………………………………………………………………………………………

Boat name (if applicable)………………………………………………………………………………………

Next of kin/emergency contact ………………………………………………………………………………

…………………………………………………………………….……………………………………………………………

Small class numbers mean we are unable to cater for special dietary needs but please let us know if you suffer from any allergies:

…………………………………………………………………….…………………………………………………………

Course dates…………………………………………………………………….……………………………………

I have read the Terms of Enrolment and accept them
(this course is not suitable for vegetarians)

Signed …………………………………………………………………… Dated …….…………………………

Please return to: Rosie Davies, Penny’s Mill, Nunney, Frome, Somerset BA11 4NP, UK