Host An Instructor Course- Request Form

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Please indicate which level course you would like to set up: Sailing Counselor Beginning Instructor (Level 1) Intermediate Instructor (Level 2) Coach (Level 3) What schedule would you want for this course? Four consecutive days (example: Thurs-Sun) Two consecutive weekends (Sat/Sun, Sat/Sun) Requested Start Date: Host Facility/Club Name: Address: City: Telephone number:  Enter a valid phone number. Example: 123-456-7890 State: ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTXUTVTVAWAWVWIWY Please describe the classroom area at your venue. Include details like, whiteboard/chalkboard, capacity, wifi/internet availability and printer accessibility. Please provide details about the types of SAILBOATS that are available for this course: Please provide details about the types of POWERBOATS that are available for this course (type, length, horsepower): Please indicate if you have a particular Instructor Trainer (IT) that you would like to request to teach this course: No preference on IT. I have a particular IT I would like to have teach our course (please list name below) Requested IT: Your name: Your phone number:  Enter a valid phone number. Example: 123-456-7890 Your email address:  Enter a valid email address. Example: name@company.com

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