Use this form for both parents/guardians, or each may submit a form. If you have more than one sailor on the team, complete a separate form for each.

Student Name *
Student Name
Primary Parent/Guardian Contact *
Primary Parent/Guardian Contact
Cell Phone *
Cell Phone
Home Phone *
Home Phone
Address *
Address
Secondary Parent/Guardian Contact
Secondary Parent/Guardian Contact
Cell Phone
Cell Phone
Home Phone
Home Phone
Address
Address