WOW Sailing Class Intake Form

Thank you for your interest in WOW Sailing classes. Please fill out the following information and submit.
Your Sailing Instructor will reach out to you to complete your registration. Once you have been accepted, you
will complete payment at the Waterfront Rental Center. Please email the infocenter@lakesideohio.com with
any questions you may have. Thank you!

Question Title

* 1. Contact Information:

Full Name *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address *

Phone Number

Question Title

* 2. Birthdate:

Question Title

* 3. Height & Weight:

Question Title

* 4. Emergency Contact Information:

Name

Email Address

Phone Number

Question Title

* 5. What class are you interested in taking?

WOW Level 1

WOW Level 2

Crew to Skipper

Question Title

* 6. How did you hear about WOW Sailing Classes?

Question Title

* 7. What is your level of sailing experience? (click on drop-down arrow in box below

No Experience

Beginner

Intermediate

Advanced

Question Title

* 8. What is your goal in taking this class?

Question Title

* 9. What other sailing classes have you taken?

Question Title

* 10. Are you comfortable swimming out in open water away from the shoreline?

Yes

WOW Sailing Class Intake Form

Question Title

* 1. Contact Information:

Question Title

* 2. Birthdate:

Question Title

* 3. Height & Weight:

Question Title

* 4. Emergency Contact Information:

Question Title

* 5. What class are you interested in taking?

Question Title

* 6. How did you hear about WOW Sailing Classes?

Question Title

* 7. What is your level of sailing experience? (click on drop-down arrow in box below

Question Title

* 8. What is your goal in taking this class?

Question Title

* 9. What other sailing classes have you taken?

Question Title

* 10. Are you comfortable swimming out in open water away from the shoreline?

Question Title

* 11. How strong are your swimming skills in order to sustain yourself in open water?

Question Title

* 12. Do you have any physical or scheduling limitations that would affect your participation in this class?

Question Title

* 13. Comments or Questions