To enroll in the Teen Sailing Academy, please complete this form. Name of Teen Sailor* Date of Birth* Name of Parent or Guardian completing this form:* Email for Parent or Guardian:* Phone for Parent or Guardian:Street Address City & State Zip Code How did you hear about the Teen Sailing Camp? Which Level are you enrolling in?* Level 1 - Basic Sailing on J/24 Level 2 - Dinghy Sailing Level 3 - Basic Coastal Cruising Adventure Which Weeks do you want?* Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Would you like ASA certification for Level 1 or 3 (this is optional and a $50 charge applies for each certification) No thanks Yes for ASA Certification ($50 each) Which Meet Up Location do you want? Manhattan Jersey City Type of Credit Card for PaymentAmerican ExpressVisaMasterCardDiscoverCredit Card Number Expiration Date Name on card if different than above. Parents or guardians have to sign an insurance waiver for their children before the class begins. We will email you the insurance waiver once you submit a registration form.Notes, comments or special instructions to Manhattan Sailing School