Adult Learn-to-Sail Registration
See http://www.concordyachtclub.org/education/adult-learn-to-sail/ for official session dates.
Desired Class:
*
Dinghy Class: Spring
Keelboat Class: Spring
If taking either Keelboat class, choose your session:
Monday/Friday
Tuesday/Thursday
Name:
*
First Name
Last Name
Birthday:
*
-
Month
-
Day
Year
Date
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email:
*
example@example.com
Sailing Experience:
*
Please Select
None
Limited
Can Sail Alone
Regatta Experience
Emergency Contact Name:
*
First Name
Last Name
Emergency Contact Phone:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Can you complete a swimming test?
*
Please Select
Yes
No
Using any stroke, swim approximately 50 yards in sailing clothing including shoes, as well as tread water for 20 seconds, and put on a PFD.
Electronic Signature:
*
Signing Date:
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: