Create A CORK Profile

General Information
 
 Highlighted items indicate required Information.
   
First Name
Last Name
Gender
Year of Birth
Language Preference
Mailing Address
City    Prov/State
Postal/ZIP    Country
Main tel.   Other tel.
Mobile tel.
E-Mail
Shirt Size
Yacht Club  (Examples: KYC, RCYC, RNSYS)
   
Password  (Minimum 6 characters. No Spaces)
Confirm Password
 
 
Emergency Contact Information
 
Full Name
Tel.
Email
Relationship  
Please list allergies,
medical conditions,
and special Notes
  
Additional Information
 
ISAF ID [Click to create your ISAF ID]
Rep. Country  (Country you represent)
CANSail Number [Canadians - Click to find/create your CANSail Number]
Campaign Website   (Example: www.mysite.ca)
Commercial websites and those unrelated to sailing are prohibited
 
 
Volunteers - Skills & Certifications
 
General
  Computer Skills Safety Officer / Saftey Officer One
  Media / Communications Pleasure Craft Operator Card
  Course Conductor for PCOC Police and/or Security Check
  VHF License
First Aid
  CPR First Aid Course Conductor
  Emergency First Aid Standard First Aid
  Wilderness First Aid Lifeguard Certification
  Medical Doctor Paramedic
  Registered Nurse
Coach / Sailing Instructor
  CANSail Instructor (levels 1-4) Club Coach (CANSail Instructor level 5-6)
  Regional / CANSail Dev Coach / US level 3 High Performance Race Coach
  National Development Coach National Team Coach
Race Officer
  Assistant Race Officer (ARO) Club Race Officer (CRO)
  Regional Race Officer (RRO) National Race Officer (NRO)
  International Race Officer
Judge
  Club Judge Regional Judge
  National Judge International Judge
Umpire
  National Umpire International Umpire
     
 
Volunteers - Past Experience
 
Year became a member