​LYC 2022 Women's Sailing Application & Release Form

Participant Name
Email Address
Mailing Address (Street)
City, Province
Postal Code	Value
Phone
Describe Previous Sailing Experience - Beginner; Intermediate; Advanced Phone
​2022 Session
Member Fee (HST incl)	$100
Non-Member Fee (HST incl)	$165
Emergency Contact
​Emergency Contact Phone
Medical Conditions
Physical Restrictions
​Additional Information