ASA Course Request Form – Cave Run Sailing Association

You need:

One form for each person registering
One form for each course requested

ASA Course Requested & Fee*

Please, choose which course you are requesting to take. If you need to review the information on the different courses, you can click HERE.

ASA 101 - $345
ASA 103 - $345
ASA 104 - $575
ASA 105 - $375
ASA 101 "Challenge" - $200
ASA 103 "Challenge" - $200

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Member of American Sailing Association (ASA)?*

Yes
No

ASA Member #*

Sailing Experience*

Please, briefly tell us about your sailing experience (# of years, type of boat(s), etc.). If you have never sailed, put N/A.

Availability*

When are you primarily available to take on-the-water courses?

Weekdays
Weekends
Flexible

Location Preference*

Where would you prefer to take on-the-water courses?

Cave Run Lake (Eastern KY)
Kentucky Lake (Western KY)
Other (fill out section below)

Other Location Details*

Please let us know a bit about the location you would like to take the courses.

Total

$ 0.00

Signature*

*** Once you have filled out this form and submitted it you will be redirected to a screen on the PayPal website to remit payment. Please follow the instructions to either sign in with an existing PayPal account, or pay directly with a debit/credit card.