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WBYC JR. SAILING PROGRAM REGISTRATION FORM 2022
(Complete one form for each child registering for the program)
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* Indicates required question
Email
*
Your email
Are You a Member of the WBYC
*
Member
Non-Member
Sailor Name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Summer Address
Your answer
Winter Address
Your answer
Parent #1
*
Your answer
Parent #1 Phone Number
*
Your answer
Parent #2 Name
Your answer
Parent #2 Phone Number
Your answer
Parent #2 Email
Your answer
Emergency Contact
*
(Will only be contacted should Parents not be able to be reached in an emergency)
Your answer
Emergency Contact Phone Number
*
Your answer
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