Application - Lucky Sol Sailing

Name*

First Last

Birthdate*

Driver's Lic. #/State*

Email*

Phone*

Address*

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

How Many Years at This Address?*

Please enter a number from .1 to 60.

Do You Rent or Own?*

Landlord Name

Landlord Phone*

Employer*

Employer Phone*

Income (per month)*

Years with this Employer?*

Please enter a number from .1 to 60.

Have You Ever Been Involved in a Boating Accident?*

Please Describe The Boating Accident.*

Have You Ever Been Arrested?*

Please Provide Details About the Arrest.*

Interests/Hobbies:

What is Your Sailing Experience?*

Which Membership Plan Are You Interested In?*

Which Yacht Are You Interested In?*

I hereby declare that the above statements are true and correct to the best of my knowledge.*

I give my permission to Lucky Sol Sailing to conduct a background check and credit check prior to my enrollment into any membership program.*

Name

This field is for validation purposes and should be left unchanged.