YA-63 Registration
Narragansett Bay Summer 2022
Location:  Safe Harbor Marinas Apponaug
17 Harbor Neck Rd, Warwick, RI 02886
Contact Joe Cooper: (401) 965-6006 or bushranger147@gmail.com
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SAILOR'S INFORMATION:
Sailor's Last Name *
Sailor's First Name *
Sailor's Address (Street, City, State, Zip) *
Sailor's Email *
Sailor's Cell Phone *
Sailor's Date of Birth *
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Do you drive? *
Do you have the prerequisite sailing background similar to that described in the Course Description? *
What is your sailing background? Please describe in a couple of sentences, or send sailing CV. (Number of years you have been sailing, on what, where, in what position?)
I am interested in (choose all that apply) *
Required
PARENT OR GUARDIAN'S INFORMATION:
Parent/Guardian's First & Last Name *
Parent/Guardian's Address (Street, City, State, Zip) *
Parent/Guardian's Cell Phone (best number to be reached promptly) *
Parent/Guardian's Email *
Does your sailor have any medical condition we should have some idea about? *
Does your sailor need to take any meds on a schedule that crosses over the time they will be with us? *
Can you arrange your afternoons so as to ensure your sailor can participate in every class? *
Might carpooling be an option for you? *
COMMUNICATION:
Communications concerning the course will be managed thru a sports app called Sports You. It is readily downloaded to any phone or device.
Log in information will be sent on completion of registration and payment.
Liability Release & Waiver Agreement *
LIABILITY RELEASE & WAIVER AGREEMENTIn consideration for my participation in sailing activities associated with the Young American Sailing Academy, Inc., the undersigned participant (“Participant”), and if such Participant is a minor, the Participant’s parent or legal guardian, and their respective heirs, executors, administrators, personal representatives and next of kin (collectively with Participant, “Releasors”), hereby forever waive, release and discharge the Young American Sailing Academy, Inc., its coaches, its affiliates, and their respective members, managers, employees, volunteers, officers, directors, agents, representatives, successors and assigns (each a “Released Party”) from any and all claims, demands, damages, judgments, executions, rights of action or causes of action, present or future, whether the same be known, anticipated or unanticipated, which a Releasor may have, or claim to have, against any Released Party resulting from death, personal injury, property damage or other loss Releasor may sustain as a result of participating in any sailing activity associated with the Young American Sailing Academy, Inc., other related activities (including land-based activities.)THIS RELEASE IS INTENDED TO DISCHARGE EACH RELEASED PARTY FROM ANY AND ALL LIABILITY ARISING OUT OF OR CONNECTED IN ANY WAY WITH PARTICIPATION IN SAILING ACTIVITIES ASSOCIATED WITH THE YOUNG AMERICAN SAILING ACADEMY, EVEN IF THAT LIABILITY ARISES OUT OF NEGLIGENCE OR CARELESSNESS ON THE PART OF ANY RELEASED PARTY. Releasors hereby acknowledge that serious accidents occasionally occur during sailing activities and that mortal or serious personal injuries and/or property damage or other loss may result from participation in sailing activities, including further injury or damage sustained as the result of the efforts of third parties who come to the aid of Participant. Releasors hereby agree to indemnify and hold harmless the Released Parties for claims, demands, damages, judgments, executions, rights of action or causes of action relating to any such injury or damage. I have read this Liability Release and Waiver Agreement, fully understand its terms, and freely and voluntarily sign it: Signature of Event Participant: :_____________________________________________
Print Name:_____________________________________________Date:__________________ IF UNDER 18 YEARS OF AGE -- PARENT OR GUARDIAN I represent and warrant that I am the parent and/or legal guardian of Participant and I agree, on behalf of the Participant, to all terms in the above Liability Release and Waiver Agreement. I further guarantee the potential financial obligations undertaken above. I give permission to the Chicago Yacht Club and its agents to undertake and/or authorize any medical treatment deemed necessary, in their discretion. Signature of Parent/Legal Guardian:_____________________________________________ Print Name:_____________________________________________Date:__________________
Required
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