Club Secretary Name, address and contact No/email;

Please fill in this form before taking part in a coaching course with Llandysul Paddlers Canoe Centre.

The WCA will then notify you of the level of subsidy available.

You will only be required to pay Llandysul Paddlers the difference.

Llandysul Paddlers will then invoice the WCA for the subsidy.

Signed on behalf of the WCA:     ____________________________________

Please send completed forms to:

Mr N Midgley, 5 Beeches Park, Boughrood, Brecon, LD3 OYJ