Sailing School Application

Sailing School Application
Course Requested*

ASA 101 BasicSailing (private)ASA 101/103 BasicSailing & Basic Cruising ComboASA 103 Basic CruisingASA 104 Intermediate CruisingASA 101/103/104ComboASA 105 Coastal NavigationASA 106 CoastalCruising
Premium Course Upgrade - Would you like to upgrade to a private premium course?*

YesNoMaybe? Tell me more.
Preferred Dates
Number of Students*
Optional Stay Aboard - If space is available, would you like to stay aboard boat during your class?*

YesNoMaybe? Tell me more.
Optional Learning Cruise - If available, would you like to take the boat out on your own following the class? The boat you trained on may be reserved for for up to 2-days. You get to be the skipper and practice the skills you learned without the instructor onboard. The boat sleeps up to 5 and it's just you, your friends and family.*

YesNoMaybe? Tell me more.
Tell us a little bit about your sailing background, along with your hopes and dreams.
Yes! We'd like to know more about you.
Your Contact Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your ASA Number - Required for processing certifications beyond ASA 101.
Student #2 Contact Info
Name (Student 2)

First NameLast Name
Phone Number (Student 2)
Please enter a valid phone number.
Email (Student 2)
example@example.com
Address (Student 2)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ASA Number (Student 2)
Student #3 Contact Info
Name (Student 3)

First NameLast Name
Phone Number (Student 3)
Please enter a valid phone number.
Email (Student 3)
example@example.com
Address (Student 3)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ASA Number (Student 3)
Student #4 Contact Info
Name (Student 4)

First NameLast Name
Phone Number (Student 4)
Please enter a valid phone number.
Email (Student 4)
example@example.com
Address (Student 4)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ASA Number (Student 4)
Review & Submit
Please reveiew our sailing school policies. By submitting this application you agree that you have read and agree Great Lakes Sailing Commpany's Sailing School Policies, including the Cancellation Policy.

Sailing School Policies

Submission of application does not guarantee availability. You must call our office to pay your deposit and confirm your class dates.

I hereby declare that the above information is true & Accurate.
Signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Sailing School Application

Your Contact Information

Student #2 Contact Info

Student #3 Contact Info

Student #4 Contact Info

Review & Submit