Full Name*:   Address: City:*:  State:*:  Zip Code:*:  Country: Business Phone: Home Phone:*:  Email Address*:	What Community Sailing program do you represent?   How long has this program been operating?   Is it Non-Profit?   Yes     No Program Address:   Your position at program:   How long at this position?   Paid or Volunteer?
Are others at your program attending the symposium? (if so, how many?)   Does your program provide funds to attend the symposium?    Yes     No What percentage of the costs are you expected to bear?   % Please indicate the minimum dollar amount that would be helpful:  $         * - indicates required field