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VIRGINIA MAITLAND
SACHS FOUNDATION
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Future Mariners Submission Form
2026
First Name (child/minor)
*
Last Name (child/minor)
*
Age (child/minor)
*
First Name (Parent/Guardian)
*
Last Name (Parent/Guardian)
*
Phone
*
Email
*
Multi-line address
Country/Region
*
Address
*
City
*
Zip / Postal code
*
Youth's Date of Birth
*
Month
Day
Year
Do you have more than one child or legal minor you're signing up? If answer yes, please be sure to sign each child separately.
*
Yes
No
Do you and your child/minor identify as BIPOC (Black; Indigenous;Person of Color)? We understand this question is deeply personal. Again, this information is used for the sole purposes of accessing grant & donations that support our mission.
*
Yes
No
If you answered 'Yes' and are inclined to share your cultural background with us, please do so below.
Using NYC's AMI index, what is your household's Average Media Income in accordance with options below?
*
Extremely Low Income
Very Low Income
Low Income
Moderate Income
Has your child ever been on a sail boat?
*
Yes
No
Is your child a local resident of The Rockaway's aka Far Rockaway?
*
Yes
No
If you answered 'No', could you indicate your borough/city of residence?
Participation in this program requires a full week commitment Monday, August 10 to Friday, August 14, 2026 (10am-4pm). Do you have schedule conflicts?
*
Yes
No
Will you be attending day of activities? (waiver of liability to be provided first day of activities by Sail Rockaway)
*
Yes
No
How did you hear about the program?
*
Would you like to know more about youth Maritime education and future career support? (including High Schools and youth STEAM programs)
*
Yes
No
Submit
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