2020 Southport Sailing School Registration
Email address *
Participant First Name *
Your answer
Participant Last Name *
Your answer
Birthday
MM
/
DD
/
YYYY
Address
Your answer
Primary Phone Number *
This should be a number where a parent can be reached during sailing school
Your answer
Parent/Guardian Name(s) *
Your answer
Other email address
Your answer
Other phone number
Your answer
Highest CanSail Level previously achieved? *
Select the session(s) to register for *
Spaces are be filled on a first-come, first-serve basis. We will contact you should the selected session(s) not be available.
Yes
No
June 29 - July 10
July 13 - 24
July 27 - Aug.7
We are considering offering an additional 1 or 2 week session starting Aug. 17, depending on interest. Would you be interested in another session? *
* This is just to gauge interest, registration would be available to anyone if we offer a 4th session.
Any medical conditions, allergy or dietary the instructors should be aware of?
Your answer
Can the participant swim 50' with confidence in deep water with a lifejacket *
During the course of the lessons pictures and videos may be taken of your child for promotional purposes. These may be used on social media sites as well as in flyers and brochures. Do you give your permission for South Port to use your child’s image in this manner? *
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