To Join the Shark Program please fill out the Application Form below. 

When you are admitted into the Shark Program we will also need you to sign the Waiver of Liability

Title

First Name*

Last Name*

Address*

Address 2

City*

State/Province*

Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip/Postal Code*

Email Address*

Confirm Email Address*

Phone*

Emergency Contact Name*

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Emergency Contact Phone Number*

Do you have any medical issues BS&BC should be aware of to ensure your safety while you are sailing?*

yes

no

If yes, please specify the medical issues

Enter the code displayed*