CYC Summer Sailing Registration 2020
Please see CYC website for additional details.
Email address *
First Name *
Your answer
Last Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Has your child participated in CYC Sailing programs before? *
Class Selection
Harbor Mice [9-12PM]
Beginner 1 [9-12PM]
Beginner 2 [9-12PM]
Intermediate Opti [1-4PM]
Intermediate Bic [1-4PM]
Intermediate 420 [1-4PM]
Adventure [1-4PM]
Week 1 [6/1-5]
Week 2 [6/8-12]
Week 3 [6/15-19]
Week 4 [6/22-26]
Week 5 [7/6-10]
Week 6 [7/13-17]
Week 7 [7/20-24]
Week 8 [7/27-31]
Week 9 [8/3-7]
Will you be using your own boat?
Yes
No
Week 1
Week 2
Week 3
Week 4
Week 5
Week 6
Week 7
Week 8
Week 9
Mother/Guardian Full Name *
Your answer
Primary Contact Phone (Emergency Contact) *
Your answer
Primary Contact Email (Emergency Contact) *
Your answer
Father/Guardian Full Name *
Your answer
Secondary Contact Phone *
Your answer
Secondary Contact Email *
Your answer
Full Address (#, Street, City, State, Zip) *
Your answer
Membership Status *
Name of Member *
Your answer
Member Account # *
Your answer
Can the applicant swim at least 50 yards independently? [REQUIREMENT] *
Required
Medical Conditions/Allergies *
Your answer
Briefly describe applicant's sailing experience: *
Your answer
Applicant's gender *
Waiver
CYC Waivers *
Required
Sign your name: *
Your answer
A copy of your responses will be emailed to the address you provided.
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