Learn to Sail Registration Form

RLWYC Member * |
Student’s Last Name *
First Name *
Parent's Name
Address *
Birth Date *
Home Phone # *
Cell Phone #
Lake Phone #
WK Phone #
Emergency Contact Name *
Emergency Phone # *
Medical # *
Province Medical # *
Email *

 

Date Courses for Members Courses for Non Members
Jul 4 to Jul 8
Jul 11 to Jul 15
Jul 18 to Jul 22
Jul 25 to Jul 29
Aug 1 to Aug 5
Aug 8 to Aug 12

Mandatory: Manitoba Sailing Association Fee: $20

 

Optional Books






Previous Sailing Level
Achieved (Circle One) *



Swimming Level (Circle One) *
Porthole Magazine
Accept Terms & Conditions *
Allergies/Medical Concerns
Payment Options *

Notes