Participant Information

First Name*

Last Name*

Gender*

MaleFemaleOther

Date Of Birth*

Email*

Phone Number*

Address*

Address Line 1*

Address Line 2

City*

State or Region*

Country*

Zip*

Grade Level:*

School Name:*

Parent/Guardian Name:*

Parent's Phone Number*

Relationship to Camper:*

Camp Session Information

Select Camp Session

Previous Sailing Experience:*

Beginner (No Experience)Intermediate (Some Experience)Advanced (Significant Experience)

Camp Time Preference:*

Morning (9 AM - 12 PM)Afternoon (1 PM - 4 PM)Full Day (9 AM - 4 PM)

Boat Type Preferred*

DinghyCatamaranKeelboatOther

Swim Level Certification:*

NoneBasicIntermediateAdvanced

Does the Participant Have Any Medical Conditions?*

YesNo

If Yes, please specify :

Does the Participant Have Any Dietary Restrictions?*

YesNo

If Yes, please specify:*

Does the Participant Have Any Physical Limitations?*

YesNo

If Yes, please describe:

I, the undersigned, understand that participating in sailing activities involves inherent risks, including injury. I agree to release and hold harmless the camp, its staff, and affiliates from any claims arising out of participation.*

I Agree to the Waiver and Release of Liability

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