Account Holder Information:

First Name:___________________ Last Name:____________________ Email:__________________________  

Cell Phone:_____________________________________

Mailing Address:______________________________ City:____________________ State:______ Zip:_______

Participant 1:

First Name:______________________________  Last Name: ____________________________________

Birth Year: ________________  Email ____________________________ TXT_______________________

Program: ___________________________________ Session: _____ Date(s): _____ Group: _____ Time: _____

Participant 2:

First Name:______________________________  Last Name: ____________________________________

Birth Year: ________________  Email ____________________________ TXT_______________________

Program: ___________________________________ Session: _____ Date(s): _____ Group: _____ Time: _____

Emergency Contact:

Name and Phone:___________________________________________________________________________

Other Information:


By signing, I confirm that I have read and agree to the attached Terms and Conditions.

 Signature:________________________________    Date: _______/______/_______

Terms and Conditions
1. Student Supervision & Swimming Ability
DBMS is not equipped to supervise students before or after class times. Children are to be dropped off and picked up on time. All students are assigned to an instructor who keeps a daily log and progress report of each child. The student’s daily, as well as overall progress, will also be monitored by the Program Director and senior staff. Any questions regarding a student’s progress should be directed to the instructor or Program Director.

Many of DBMS' course descriptions include a requirement that the participant be a "Competent Swimmer". DBMS defines a "Competent Swimmer" as someone who is able to readily jump into deep water and swim 25 yards unassisted. I hereby attest that my/my dependent's swimming ability meets or exceeds the level required in DBMS's course description. I agree I/my dependent will properly wear a U.S. Coast Guard approved life vest at all times while participating in DBMS on-the-water programs, except when rowing in a crew shell.  Except for Jr Rowing classes, DBMS does not require participants to take a formal swim test.

2. Weather Policy
All classes meet rain or shine. Only DBMS staff may cancel or reschedule Private and Semi-Private lessons due to poor weather conditions. In some instances, this may be done with very short notice or after the lesson has already started. After the decision is made, the participant will be notified as soon as possible and DBMS will attempt to reschedule the lesson if there is availability. For Private and Semi-Private lessons that are unable to be rescheduled, DBMS will issue a refund or credit.
3. Booking Cancellation / Refund Policy
Bookings may be cancelled at any time on our website by logging in to your DBMS Customer Account, or by contacting the registrar. Registration is forfeited after the start of the class. The following cancellation fees apply:
Classes Cancelled >=30 days before class starts: $25 per student per class
Classes Cancelled  <30 days before class starts: $25 or 25% of the class fee, whichever is greater, per student per class
Private & Semi-Private lessons cancelled <48 hours before class
               starts: 100% of lesson fee
If the customer account holder/participant has a balance due, the refund amount is first applied to the balance due and the remaining amount is refunded.

4. Payment Policy
To secure a seat in a class and be placed on the roster, all classes must be paid IN FULL at the time of registration. Class participation is not allowed unless you are on the roster.
5. Consent, Waiver & Indemnity Agreement
I hereby agree/my dependent hereby agrees to participate in all programs and activities of the Duxbury Bay Maritime School, including transportation to and from events, if needed.  I understand that there are risks inherent in sailing, sailboat racing, rowing, kayaking and other water-based and land-based programs and that accidents can occur on the water as well as on land during any DBMS program.  Such accidents can result in serious injury and death.  I do for myself, my personal representatives, family, heirs and assigns, knowingly and freely waive all claims against and release and discharge DBMS and its officers, directors, agents, employees and volunteers from any and all liability, loss, damage, and expense which may result from participation in DBMS programs.  I agree I/my dependent will properly wear a U.S. Coast Guard approved life vest at all times, while participating in DBMS on-the-water programs, except when rowing a crew shell.  DBMS reserves the right to photograph participants for publicity purposes.

6. Statement of Medical Condition & Consent for Medical Treatment
I attest to the fact that I am/my dependent is in good health and that there is no medical condition that precludes my/my dependent’s involvement in any of the programs of the Duxbury Bay Maritime School (DBMS). I will notify DBMS staff of any pre-existing medical conditions that may effect my/my dependent’s participation, and will bring with me any medications such as inhalers or epi-pens I/my dependent will need during participation. I grant permission to DBMS and its employees to administer medical treatment that may be deemed necessary in event of injury or illness.

7. Conduct Policy
The goal of DBMS programs is to develop students’ individual strengths, to improve their skills, and to have fun while doing so. Programs require a high standard of commitment, effort, and personal conduct. Decent, self-respecting behavior and true sportsmanship are expected of everyone (students as well as parents) while participating in the school’s program, while on the school’s property, and while representing DBMS off campus. Failure to adhere to code of conduct could result in disciplinary action, including suspension or expulsion without refund of program fees.

8. Scholarships
Financial Aid is limited to Youth through age 18. Anyone seeking information about financial assistance should contact Beth at the DBMS office 781-934-7555 x108. Click
here to download the application. Please send in your completed scholarship applications (along with copies of W2s) to beth@dbms.org. Applications must be submitted at least two weeks prior to program start date.