2023 Sail Nauticus Academy Application
Thank you for your interest in the Sail Nauticus Academy! The deadline for applications is November 17th. 

This application is for use by Sail Nauticus Staff only; information obtained via this application will not be shared with any other party.
Sign in to Google to save your progress. Learn more
Email *
Part 1: Must be completed by a Parent/Guardian
Please complete the following forms in their entirety. Incomplete applications will not be considered.
Student's LAST name:  *
Student's FIRST name: *
Student's Address: Number, Street Name, City, State,  Zip *
Did your student enter 6th grade this fall?  *
Required
Student's Date of Birth: *
MM
/
DD
/
YYYY
Student ID # (6 digits, starts with 2XXXXX): *
School Attending in 2023-2024 (Day of the week Sail Nauticus meets) *
Race: *
Student's Gender Identity: *
2. Parent/Guardian Information:  
 Parent/Guardian Name:  *
Relationship to student (Parent, grandparent, etc.): *
Parent/Guardian Phone Number: *
Parent/Guardian Email: (we primarily use email to communicate) *
4. Household Information  
This section helps us determine specific demographics necessary for grant and funding purposes. This information is confidential and will not be shared outside of Sail Nauticus staff.
Would you describe your household as a “single-parent home”?     *
Does your household speak a language other than English? *
What is your primary language *
Household Size (Total number of persons who live in your home, including the student): *
What was your household income income in 2022? *
How would you rate your child's water comfort? *
Please list all extracurricular activities your student participates in during the school year and the estimated weekly time commitment.
 *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms