Enrollment Form
If you are registering more than 3 sailors, please fill this form out multiple times.
Person Filling Out Form
*
First Name
Last Name
Are you a Diamond Lake Yacht Club Member?
*
Yes
No
If you are the guest of a Diamond Lake Yacht Club Member, please enter their name.
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child 1
Name of Child Enrolling
First Name
Last Name
Age of Child at time of class
Birthdate
Has the child taken a class from us before?
Yes
No
If yes, or if student has had sailing lessons at other places or has any sailing experience, please describe.
Does the child have any health concrens?
Yes
No
If yes, please explain
Does this child have any allergies?
Yes
No
If yes, please explain
Can this child swim?
Yes
No
Child 2
Name of Child Enrolling
First Name
Last Name
Age of Child at time of class
Birthdate
Has this child taken a class from us before?
Yes
No
If yes, or if student has had sailing lessons at other places or has any sailing experience, please describe.
Does this child have any health concerns?
Yes
No
If yes, please explain
Does the child have any allergies?
Yes
No
If yes, please explain
Can this child swim?
Yes
No
Child 3
Name of Child Enrolling
First Name
Last Name
Age of Child at time of class
Birthdate
Has this child taken a class from us before?
Yes
No
If yes, or if student has had sailing lessons at other places or has any sailing experience, please describe.
Does this child have any health concerns?
Yes
No
If yes, please explain
Does the child have any allergies?
Yes
No
If yes, please explain
Can this child swim?
Yes
No
END
Submit
Should be Empty: