Formation instructeur croisière 2026

Merci de remplir vos informations personnelles

Inscription instructeurs Voile croisière

First name *

Last name *

Date of birth *

Email *

Phone *

Street name *

City *

Postal code *

Province *

Country *

Emergency contact name *

Emergency contact phone number *

Allergies? if yes, which one ?

Language preference

Number of hours accumulated as skipper

Number of hours accumulated coaching on the water

Name of the sailing school sponsoring you

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

J'accepte qu'un montant de 300$ soit exigible en cas de dommages ou de bris lors d'une épreuve embarquée