Junior Sailing Summer Program 2026 Participant Form

Junior Sailing Summer Program 2026 Participant Form
I can attend daily Mon-Fri 9.15am - 3.30pm July 20-31th, 2026I will be between 13 and 17 years of age by July 19th 2026I'll be delivered and collected by parents/guardians/family/friends at the St Thomas Yacht Club (in Nazareth, St Thomas)I am a USVI resident currently attending a Public/State School in the U.S. Virgin Islands (not a private school)My Parent/Guardian consents to signing a liability release waiver for the duration of the student's swimming and sail training.
YesNo
Name of Student*

First NameLast Name
Preferred Name*
Date of Birth of Student*

MonthDayYear
Date
Phone Number of Student (if have one)
Please enter a valid phone number.Format: (000) 000-0000.
Email of Student
example@example.com
Name of Consenting Parent/Guardian (1)*

First NameLast Name
Phone Number of Parent/Guardian (1) to be used in WhatsApp group messenger*
Please enter a valid phone number.Format: (000) 000-0000.
Email of Parent/Guardian (1)*
example@example.com
Name of Consenting Parent/Guardian (2)

First NameLast Name
Phone Number of Parent/Guardian (2) to be used in WhatsApp group messenger
Please enter a valid phone number.Format: (000) 000-0000.
Email of Parent/Guardian (2)
example@example.com
Student Home Residential Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Describe your students favorite hobbies and passions?*
Yes, very proficient.Yes, a bit - I agree to take free swimming lesson paid by VIPCA twice weekly June - July 2026 at the St. Thomas Swimming Association pool.No, I agree to take free swimming lesson paid by VIPCA twice weekly June - July 2026 at the St. Thomas Swimming Association pool.
YesNo
YesNo
How did you hear about the Junior Sailing Summer Program?*
YouthAdult
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Friend or FamilySt. Thomas Yacht ClubSchoolFacebookInstagramOther
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