Camp Application

Sea Camp Application Date __________________

Copy fill out and send with a non refundable (unless cruise is full) application fee of $10 to Tall Ship Windy- Ticket Booth, 600 E. Grand Ave., Navy Pier, Chicago, IL 60611. Or you may fax it 321-595-5473 and phone 312 595 5472 a credit card for application fee. Use the back or additional sheets if needed to explain and answer.

Voyage applying for: ____________________

Name _______________________________ Birth Date ________________________

Address ________________________ City _______________State-Zip ____________

E-mail Address ___________________________Phones ________________________

Parent or Emergency contact ________________________Phones ________________

Highest Education Level/grade and school ____________________________________

Hobbies, interests, sports _________________________________________________

Sailing/boating experience _________________________________________________

What do you consider your academic strength? _________________________________

What do you consider your social/psychological strength? _________________________

Do you have any handicaps (Glasses, missing limbs, etc.) ________________________

How would you describe your health _________________________________________

Are you taking any medication and if so what? __________________________________

Do you have any allergies or reactions to any kind food, etc. _______________________

Have you ever been convicted for any drug related offense, if so describe: _____________

What is your height? _________ Weight __________ Shirt Size ____________

Provide 2 Character References(non-family): Relationship to you, Name, phone number.

______________________________________________________________________

Why would you like to Sail on the WINDY II? ____________________________________

______________________________________________________________________

Please See and Sign Trainee Waver: Waver