Sailing Camp Registration

Sailing Camp Registration
Participant Information
Participant - Full Name

First NameLast Name
Participant - Date of Birth

MonthDayYear
Participant - Email Address
example@example.com
Participant - Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade
School Name
Partner Organization
T-Shirt Size
Gender Identity
Swimsuit Size
Shoe Size
Weight (lbs) (to properly fit them for a life jacket)
Parent/Guardian Information
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Alternate/Secondary Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Would you like to opt-in to future communication from CYCF about program opportunities for your youth?
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Relationship
Secondary Emergency Contact Name
Secondary Emergency Contact Relationship
Secondary Emergency Contact Phone Number
Medical Information
Allergies or Medical Conditions:
Behavioral / emotional / sensory / physical considerations, learning disabilities or accommodations, or anything else we should know:
Camp Session Selection
Are you registering for Monroe Community Sailing?
Which Monroe week(s)?
Are you registering for 31st Street Sailing + Swimming?
Which 31st Street week(s)?
Are you registering for Adventure Boating at Belmont?
Which Belmont Adventure Boating week(s)?
Prior CYCF Program Experience
Waiver and Photo Consent
Signature of Parent/Guardian of Minor or Participant (if age 18 or over)
Signature of Parent/Guardian of Minor or Participant (if age 18 or over)
Additional Notes
Should be Empty:

Sailing Camp Registration

Participant Information

Parent/Guardian Information

Emergency Contact

Medical Information

Camp Session Selection

Waiver and Photo Consent