Registration: COAST Clinic - Opti Sailors

This is an Optimist Clinic for all levels of Opti sailing including Beginner, Intermediate and Advanced. The clinic is led by some of the best coaches in Canada for each of these levels and is the perfect tune-up for the beginning of the season!

Is the participant 14 or older at the time of course? (HST):
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Participant Information

First Name:
Last Name:
Street Address:
City:
Province:
Postal Code:
Email:
Confirm Email:
Email:
Phone:
Yacht Club Affiliation:
Are you a CODA member?:
No  Yes  
Coach's Name:
Coach's Email:
Skill Level:
Beginner  Intermediate  Advanced  
Charter Boat (see description):
Bringing my own boat  I need a club boat  
1

Health Information

Date of Birth (mm-dd-yyyy):
1
MSI Number:
Gender:
male  female  
Allergies:
Medications:
Emergency Contact Name:
Emergency Contact Phone:
Emergency Contact Email:
Emergency Contact Relationship:
Doctor Name:
Doctor Phone:
Add any additional information (e.g. dietary requirements):

Parent/Guardian Information
For participants under the age of 18 years

Mother Name:
Phone (H):
Phone (W/C):
Email:
Father Name:
Phone (H):
Phone (W/C):
Email:
Caregiver Name:
1
Phone:

Releases

Liability release and cancellation policy:
I have read and consent to the RNSYS Waivers
(click here to review)

Sponsors of the Marblehead to Halifax Ocean Race 2019:

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