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Spectrum Sailing Registration - New Orleans 4/4-4/6
This is registration for Spectrum Sailing Camp hosted by Community Sailing New Orleans 4/4-4/6. Community Sailing New Orleans is located at
101 N Roadway St, New Orleans, LA 70124
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Sailor First Name
*
Your answer
Sailor Last Name
*
Your answer
Sailor Birthdate
*
MM
/
DD
/
YYYY
I am available for the following session
Morning 9am-12pm
Afternoon 1pm - 4pm
Either
Is the Sailor comfortable around water?
Yes
No
Maybe
Is the Sailor comfortable wearing a life jacket?
Yes
No
Maybe
Is the Sailor able to swim unaided?
Yes
No
Maybe
Does the Sailor require a 1 to 1 aide?
Yes
No
Does the Sailor avoid situations where unexpected things might happen (for example, going to unfamiliar places or being around people you don't know)?
Yes
No
Does the Sailor get motion sickness?
Yes
No
Is the Sailor comfortable when people get close?
Yes
No
Is English the Sailor's preferred language?
Yes
No
Does the Sailor startle easily at unexpected or loud sounds? (If yes, are there strategies that are calming?)
Your answer
Why do you want to participate in Spectrum Sailing?
Your answer
Does you sailor have any other diagnosis besides Autism?
Your answer
Is there anything additional you feel we should know about your Sailor that will make this a positive experience for them?
Your answer
What is your Sailor's adult shirt size? We will try our best to accommodate sizes
XS
S
M
L
XL
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Guardian First Name:
*
Your answer
Guardian Last Name
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Street Address
*
Your answer
Street Address 2
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
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