Friday, May 18, 2012
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Sail Camp Reservation


A $50.00 deposit per child per session must be sent to Sailcamp 2012, P. O. Box 22781, Knoxville, TN 37933-0781, make check payable to Concord Sailing Center. This deposit will be held until space for the applicant is confirmed. The balance is due at the Parent\'s Orientation scheduled for 5:00 P.M. on Sunday, May 20th at the CYC Clubhouse.

Fees are refundable, except for $50.00 deposit, if withdrawal is made in writing by April 1st. To register more than one camper, please fill this form for each camper. If you have any question about this form or the sail camp please call Suzi Richters at (865) 691-0656

 

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* Required information.
Parent/Guardian Name *
Email Address *
Phone Number *
Camper First Name *
Camper Last Name *
Camper Sex *
Address 1 *
Address 2
City, State, Zip *
Date of Birth (mm/dd/yyyy) *
Height *
Weight *
School *
Attend Session 1 June 4-8 ** *
Attend Session 2 June 11-15 *
Attend Session 3 June 18-22 *
Sailing Experience *
Last Sail Camp Attended *
Red Book 5-9 mph skills completed? *
Child Photo Permission *
T-shirt size *
Boat *
I prefer to sail at Sail Camp *
If you have a private boat, are you willing to loan it for other sessions?
Is someone in your family a CYC member? *
CYC Member's Name
Will Parent/Guardian Volunteer at Sail Camp? *
Primary Emergency Contact *
Phone 1 *
Phone 2
Phone 3
Backup Emergency Contact *
Phone 1 *
Phone 2
Phone 3
Year of last tetanus injection *
Does the camper have physical imitations? *
Does the camper have any allergies? *
List of allergies *
Physician Name *
Physician Phone Number *
Health Insurance Company *
Policy Number *
Group Number *
Emergency Medical Information
Questions or Comments about Sail Camp
How did you hear about Sail Camp?
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