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WBYC JR. SAILING PROGRAM REGISTRATION FORM 2024
(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's first and last name
*
Your answer
DOB
*
MM
/
DD
/
YYYY
Summer address
Your answer
Winter address (if different)
Your answer
Parent #1 (first and last name)
*
Your answer
Parent #1 phone number
*
Your answer
Parent #2 (first and last name)
Your answer
Parent #2 phone number
Your answer
Parent #2 Email
Your answer
Emergency Contact (first and last name)
*
(Will only be contacted when parents cannot be reached in an emergency)
Your answer
Emergency Contact phone number
*
Your answer
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