Sailor's Name *

First Name

Last Name

Sailor's Cell Phone *

(###)

###

####

Sailor's Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian #1 Name *

First Name

Last Name

Parent/Guardian #1 Cell Phone *

(###)

###

####

Parent/Guardian #2 Name *

First Name

Last Name

Parent/Guardian #2 Cell Phone *

(###)

###

####

Emergency Contact *

Someohe other than the parent/guardian.

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Sailor's Date of Birth *

MM

DD

YYYY

Sailor's Gender *

Male

Female

Other

Sailor's Water Comfort Level *

Non-swimmer. Low level of water comfort.

Competent swimmer.

Highly competent swimmer.

Prior Sailing Experience *

First-time sailor.

Sailing classes with Team Paradise.

Sailing classes with another program.

Sailing with family and friends.