From: aycschoolapp@americanyachtclub.org To: aycschool@americanyachtclub.org Subject: 2008 Sailing School Application If you are filling out this form from a download, please place answers in the brackets [] only. Fill it out as completely as possible and email it to: aycschool@americanyachtclub.org: Your Email: [required-email] ------------------------------------------------------------- Student's Name: [required-studentName] ------------------------------------------------------------- Student's Age: [required-studentAge] ------------------------------------------------------------- Student's Phone Number: [required-studentPhone] ------------------------------------------------------------- Student's Street Address: [required-studentStreet] ------------------------------------------------------------- Student's City: [required-studentCity] ------------------------------------------------------------- Student's State: i.e. "MA" [required-studentState] ------------------------------------------------------------- Student's Zip Code: [required-studentZip] ------------------------------------------------------------- Student's Email: [required-studentEmail] ------------------------------------------------------------- Note: enter your own email again if student does not have one! If under 18 years old, parent or guardian must complete below: Parent/Guardian Name: [parentName] ------------------------------------------------------------- Phone Number: [parentPhone] ------------------------------------------------------------- Street Address: [parentStreet] ------------------------------------------------------------- City: [parentCity] ------------------------------------------------------------- State: i.e. "MA" or "NH" [parentState] ------------------------------------------------------------- Zip Code: [parentZip] ------------------------------------------------------------- Email: [parentEmail] ------------------------------------------------------------- Parent information if different from above: Parent Name: [parent2Name] ------------------------------------------------------------- Phone Number: [parent2Phone] ------------------------------------------------------------- Street Address: [parent2Street] ------------------------------------------------------------- City: [parent2City] ------------------------------------------------------------- State: i.e. "MA" or "NH" [parent2State] ------------------------------------------------------------- Zip Code: [parent2Zip] ------------------------------------------------------------- Sign up for the following Child session(s): Per session fee: Member $230, Non Member $270 Payment: [kidPayment] ------------------------------------------------------------- Note: type in either $230 if you are an AYC member, or $270 if you are a non-member of the AYC. We will tally and invoice you for all sessions you will be enrolled in. Note 2: Not all sessions may be available when you apply, we will invoice only for those in which we can enroll you. Type in "YES" for every session you would like to enroll in: Session 1 AM: [Child1_am] ------------------------------------------- Session 1 PM: [Child1_pm] ------------------------------------------- Session 2 AM: [Child2_am] ------------------------------------------- session 2 PM: [Child2_pm] ------------------------------------------- Session 3 AM: [Child3_am] ------------------------------------------- Session 3 PM: [Child3_pm] ------------------------------------------- Session 4 AM: [Child4_am] ------------------------------------------- Session 4 PM: [Child4_pm] ------------------------------------------- Sign up for the following Adult session(s): Member $250, Non Member $290 Payment: [adultPayment] Note: type in either $250 if you are an AYC member, or $290 if you are a non-member of the AYC. We will tally and invoice you for all sessions you will be enrolled in. Note 2: Not all sessions may be available when you apply, we will invoice only for those in which we can enroll you. Type in "YES" for every session you would like to enroll in: Session 1 PM: [adult1] ------------------------------------------- Session 2 PM: [adult2a] ------------------------------------------- Adult shirt size: [shirtSize] Thank you for filling out this form. The American Yacht Club Sailing School Program will be contacting you shortly with a confirmation.