Forms | Yes! You Can Sail

FIRST & LAST NAME *

Do you have any allergies or sensitivities? *

YES
NO

If yes, please list here:

Do you have any required daily medications? *

YES
NO

Please list medications you plan to bring. *

Do you need any of the following: *

EpiPen
Inhaler
None of the above

Are you: *

Celiac?
Diabetic?
Vegetarian?
Vegan?
None of the above

Do you drink coffee? If so, How do you take it? (Include type of milk, type of sweetener.) *

Do you drink tea? If so, How do you take it? (Include type of tea, type of milk, & type of sweetener.) *

What does your typical breakfast look like? *

Are you prone to seasickness? *

YES
NO

Can you swim? *

YES
NO

NAME OF EMERGENCY CONTACT *

Emergency Contact’s Telephone Number *

Emergency Contact’s Email Address *

Do you have any physical limitations that you would like to share? *

Is there anything else you would like to share?