Adult Learn-to-Sail Registration

Learn-to-Sail Session Requested*
See http://www.concordyachtclub.org/education/adult-learn-to-sail/ for official session dates.
- Keelboat Session A (Tues/Thurs, begins 8/17)
- Keelboat Session B (Wed/Fri, begins 8/18)
- Dinghy Course (Wed/Fri, begins 8/18)
Name*
First Last
Date of Birth*
Month
Day
Year
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Phone (work)
Email*
Sailing Experience*
- None
- Limited
- Can sail alone
- Regatta experience
Emergency Contact
Name and phone where they can be reached during class hours.
Name*
First Last
Phone*
Can you complete a swimming test?*
Using any stroke, swim approximately 50 yards in sailing clothing including shoes, as well as tread water for 20 seconds, and put on a PFD.
- Yes
- No
Signature*
Date*
MM slash DD slash YYYY

Concord Yacht Club