Basic Coastal Cruising Registration

It's easy to sign-up on line. Just complete this form push the "Submit" button. Or you can print this form and fax it to (212) 786-1743. If you have any questions, please call the school at (212) 786-0400.

Name
Address
City
State
Zip Code
Phone
e-mail
How did you hear about our school?
I wish to enroll in the following Basic Coastal Cruising Class:
Class # & Dates

Number of people you are signing up with:
If signing up with other people, please list their names:
ASA Certification is included in the price above. You must have Basic Keel Boat Certification PRIOR to obtaining Basic Coastal Cruising Certification.
	Included
Cool Sailing Gear! Our school offers students an opportunity to get some cool sailing gear at a discount. The gear will be mailed to you along with your course materials.
	Gill Deckhand Gloves - $19.95 Small Medium Large Extra Large

	Gill Inshore Sport Sailing Jacket - $104.50 Small Medium Large Extra Large
Payment. You may pay by VISA, MasterCard, American Express or Discover.
Credit Card Type:	VISA MasterCard American Express Discover
Card Number:
Exp. Date
Name on card (if different from above):
At the start of your class, you will be asked to sign this waiver: I, the Student listed above, am voluntarily participating in sailing activities with the Manhattan Sailing School. I understand that sailing is a sport which involves risk such as injury, loss or damage. I understand that I share the responsibility for safety and agree to practice safe boating. I agree to indemnify and hold harmless the Manhattan Sailing School, Manhattan Yacht Club Inc., their agents, officers and employees from all claims of injury to person or property arising from my participation in sailing through Manhattan Sailing School.
Course Materials & Sailing Gear Upon receipt of your registration, we will send you a priority mail box which contains your school manual, text book and sailing gear. The package may be too big for your home mailbox. If you would like your course materials sent to an another address (such as work) please include this address in the box below.
Alt. Address:

Notes, Comments or Special Instructions for our Sailing School:
Now, just submit your form and you'll be sailing soon!