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Program Application
Students must be between 8 & 18 years old
Students must know basic swimming skills
Students must supply their own life jacket
• Parents and students must submit completed
PCYF Youth Acknowledgement and Waiver Forms
Scholarships are available
• Enrollment fees are $375 per session and include a Sabot
• Enroll for session #1 before May 16 and the fee will be only $325
Enroll for multiple sessions and receive a $25 discount on each additional session!
Student's Name:
Student's date of birth:
(example: mm/dd/yyyy)
Session(s):
(indicate session desired)
Session 1
June 9 - June 20
Session 2
June 23 - July 3
Session 3
July 7 - July 18
Session 4
July 21 - August 1
Session 5
August 4 - August 15
Level(s):
(indicate level desired)
Level 1 - Beginner
Level 2 - Advanced Beginner
Level 3 - Intermediate
Level 4 - Advanced
Address:
City:
State:
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Parent's Phone:
Parent's Name(s)
Parent's E-mail address:
How Did You Hear About Us?
Comments:
I would like to be considered for a scholarship. Please send information on how to apply. (A limited number of slots are available for those who would like to participate in the summer sailing program but require financial assistance.)
Parents we need your help! PCYF is looking for volunteers. Check off any if you would like to help.
Rigging/De-rigging chaperone
Thursday Night Races
Awards Dinner
Boat Maintenance
T-Shirt Orders:
One T-shirt is included with each enrollment. Additional T-shirts are $15. Type in the quantity of each desired:
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
All levels of experience will be accommodated in each of the sessions. Your child will be assigned to the skill level designated on this Summer Program Application. If, after being observed by the instructors, that level seems inappropriate, the instructor will contact you and reassign your child to the appropriate level. When a childs skill improves such that he or she is ready for the next level, he or she will be moved up.
Refund Policy:
To preserve the integrity and excellence of the program with a quality curriculum, program materials, and instructors, no refunds are available once the session has begun.
Scholarship Information:
A limited number of slots are available for those who would like to participate in the summer sailing program but require financial assistance. To apply, simply click the checkbox above. We will contact you with additional information.
Download Waiver Forms
Pacific Corinthian Youth Foundation
2600 South Harbor Blvd
Oxnard, CA 93035-3913
(805) 985-0660
info@pcyf.org
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