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PLEASE NOTE: Enrollment is confirmed when full payment is received.

Class Requested:
Date Requested:
Student's Name:
Address:
City:
State:
Zip:
Home Phone Number:
Other Phone Number:
Email Address:
Has this student sailed with
us before?
Yes
No
How did you
hear about us?
 
What is the student's sailing experience?
Method of Payment:

Check by Mail or Drop Off
Cash Drop Off
Credit Card by Phone

Early Drop Off or Late Pickup? Early Drop Off
Late Pick Up
* Additional costs apply.
 

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