Junior Sailing Scholarship Application

Name of Applicant:________________________________________________________

Age: _______ Date of Birth:___/___/___ Gender: Male / Female

Address:________________________________________________________________ Street City State Zip

Name of Parent/Guardian:__________________________________________________

Address:________________________________________________________________ Street City State Zip

Phone # (H):_______________ (W)_______________ (Cell)_______________ Email Address:___________________________________________________________

Applying For: Level:________ Session:_________ Dates:__________________


Applicant Statement

Please provide a short statement supporting the applicant’s need for assistance and reasons
for wishing to participate in the Corinthian Yacht Club Junior Sailing Program.

________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________