· Inverness Yacht Club ·

• IYC Adult Sailing Lessons Application •

Name of Applicant: _______________________
Applicant must be a member

Date of Birth: _______ Phone_______________

Current/Mailing Address:

_______________________________________

_______________________________________

_______________________________________

Summer Address(if different):

_______________________________________

_______________________________________

_______________________________________

Summer Phone: __________________________

Preferred Schedule:

____ Weekend ______During the week

Swimming Ability:

____ Weak Swimmer

____ Adequate Swimmer

____ Strong Swimmer

Experience

________ First-time or inexperienced sailor

________ Beginner (can steer, tack, jibe and dock)

________ Intermediate (can rig and unrig boat, leave/return from dock mooring, set a course)

________ Advanced (can handle all trim functions and high winds)

Indicate wind conditions and boat type applicable to skill level checked above.

___________________________________________________

Please summarize your sailing experience and previous instruction (where, when, what boats):

___________________________________________________

___________________________________________________

Signed ___________________________ Date _______

FEE: Non-members $ 520, Members $ 480 - make checks out to "The Inverness Yacht Club"

To Enroll:Complete this Application Form and the Participation Agreement. Return with a check made out to the Inverness Yacht Club to: Ned Congdon, 115 Clover Hill Court, Danville, CA 94526. (Phone No. 925/362-8820).

Refund Policy: A full refund is granted if the student withdraws two weeks or more before the session starts. There may be a 50% refund if withdrawal precedes the beginning of class. No refunds are given once class has started.