SALTS Sail and Life Training Society

451 Herald Street

Victoria, BC, Canada, V8W 3N8

www.salts.ca

2025 Spring Break Trip Request

Before you start this form review the:

REQUIRED FIELDS are marked with an asterisk * and must be filled in to submit this form.

Trainee Details

Each young person participating in a SALTS trip is referred to as a "trainee"

Trainee's Legal Last Name

Trainee's Legal First Name

If you (the trainee) don't usually use the legal first name, above,
what first name do you perfer to be called?

This is the trainee name we will use in our communications about the trip.

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Will the trainee be an adult in British Columbia (19 years of age or over) at the expected time of sailing?

YesNo

Birthdate

Enter 20/11/2010 for November 20, 2010

Trainees must be between 13 - 24 years of age on the first day of the assigned trip

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Gender

Please tell us about your gender identity and/or expression, including your preferred pronouns.

There are two bunk compartments on board, the "main hold” and the “fo’c’sle”, which are separated by a bulkhead door. Each compartment has a single occupancy washroom called a marine "head" with a toilet and sink.

The standard bunking arrangement is females in the fo’c’sle, and males in the main hold.

Which bunk compartment do you prefer?

Fo’c’sleMain HoldPlease contact us if you would like more information.

Gender on form

Hidden

Minimum Date of Birth Trigger

Maximum Date Of Birth Trigger

Primary Registration Contact

Who will be the primary contact for details about this registration such as payments and trip preferences?

The TraineeThe Parent or GuardianAn Alternate (grandparent, sponsor, youth worker, nominator, etc.)

All communications will be sent to the PRIMARY CONTACT's email and copied to the other email addresses entered below.

Alternate registration contact's information

Name and Relationship to Trainee

The full name and relationship of the person we will communicate with about the trip (e.g. "Jane Smith - Grandmother" or "Jim Johnson - family friend")

Alternate Contact's Email Address

Registration communications will be sent to this email address as well as the Trainee and the Parent/Guardian, if entered below.

Alternate Contact's Phone Number

Trainee's Contact Info

Trainee's Own Email Address

Trainee's Phone Number

Trainee's Own Phone Number

If the trainee does NOT have their own phone, leave this field blank.

emails as calculated fields

Calculated Parent Email

Calculated Trainee Email

Primary Reg Contact Email

Parent/Guardian Contact Info (Required)

Parent/guardian information is required when the trainee is under 19yrs of age OR
when the parent/guardian is the primary registration contact.

Parent/Guardian's Name

First and last name of the primary parent/guardian - enter only one person

Parent/Guardian Email

Enter only one email address. Communications about this registration will be sent to this address, the trainee's email address and the Alternate Contact, if selected as the Primary Contact.

Parent/Guardian Phone Number

Enter only one

Other Parent/Guardian Name - Optional

Optional - first and last name - enter only one person

Other Parent/Guardian Email

Optional - not for regular communications

Other Parent/Guardian Phone Number

Optional - enter only one

Parent/Guardian Contact Info (Optional)

Parent/guardian information is optional for adult trainees.

Parent/Guardian's Name

First and last name of the primary parent/guardian - enter only one person

Parent/Guardian Email

Email communications will be copied to this address.

Parent/Guardian Phone Number

Enter only one

Other Parent/Guardian Name - Optional

Optional - first and last names

Other Parent/Guardian Email

Optional - Enter only one email address

Other Parent/Guardian Phone Number

Optional - Enter only one phone number

Microsoft Email Domains

There is a known issue we are unable to control that frequently prevents the delivery of some emails and auto-responses to Microsoft email domains Hotmail.com, Outlook.com and Live.com. We recommend using an alternative to these if possible.

Trainee's Address

Address Type

Street Address

Number and street or PO Box

City

Country

Province

State

State/Province

Postal/Zip Code

Do you have a secondary address?

YesNoSuch as other parent's home , P.O. Box, school residence, or temporary address.

Trainee's Secondary Address

Secondary Address Type

What type of "other" address is this?

Secondary Street Address

Number and street or PO Box

Secondary City

Secondary Country

Secondary State

Secondary Province

Secondary State/Province

Secondary Postal/Zip Code

Preference	Spring Break Trips
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