SUMMER SAILING CAMP REGISTRATION 2021 (PLEASE CALL TO GET ON WAITING LIST)

Student Information

• * First Name:
• * Last Name:
• Nickname:
• * Parent/Guardian Name
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * Cell Phone:
• * Address 1:
• Address 2:
• Address 3:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• Emergency Contact: Name/Phone

• Fee

  Type	Fee
  Member Rate	$400.00
  Non-Member Rate	$475.00

Registration Information

• Registration Status:

  • New Student
  • Returning Student
• Date of Birth

• Week Attending:

  • June 7th - June 18th
  • June 21st - July 2nd
  • July 12th - July 23rd
  • July 26th - August 6th

Guest Information

You may add a maximum of 10