Permanent Address        ___________________________________        Telephone:  ___________________

                                    ___________________________________

                                      ___________________________________

 

Local Address                 ____________________________________      Telephone:  ___________________

                                      ____________________________________

                                      ____________________________________     E-mail:_______________________

 

 

Sailor’s swimming ability:  (check one)

 

  _____Excellent              _____Adequate                _____Beginner              _____Non-swimmer

 

Has your sailor had formal swimming instruction?_______

 

If yes, what level was completed?_______________________  When?________________________

 

Red Cross?__________     Other?_________________________________________________________________

 

Has your child had sailing exposure?___________  In what class sailboat?__________________________

 

Handled the tiller?_______________                       Solo Experience?_____________

 

Please describe child’s previous sailing experience on the back of this form.  Feel free to also provide any other information you would like us to know.

 

 

PLEASE COMPLETE ONE FORM FOR EACH SAILOR