Pride of Baltimore Junior Sailor ScholarShip Application

Parent/Guardian Information

Parent/Guardian Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Alternative Phone

Email*

How did you hear about the Junior Sailor ScholarShip

Camper Information

Name*

First Last

Date of Birth*

Your child must be 12-16 years of age to register.

Name of School*

Grade Level*

Upcoming school year

Camper's Ethnicity

Please state if the camper CAN or CANNOT swim*

If your camper CAN swim, please describe your child's level of comfort in the water?

Does your child receive free or reduced lunch?

(Question for the scholarship applicant) Why would you like to learn to sail? What is it about sailing or spending time on the water that interests you?*

Will you be able to attend camp if you are not selected for a scholarship?

Pride of Baltimore Junior Sailor ScholarShip Application