MYC Sailing School Waiver 2019
Liability waiver and Emergency contact information
Student's Name
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Address
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Parent/Guardian's name
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Parent/Guardian's cell phone:
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Parent/Guardian's email
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Emergency number 1: contact number, name and relation to child
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Emergency Number 2: contact number, name and relation to child
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Does this child have any disabilities, handicaps, present injuries or limitations, allergies, hemophilia, heart condition, history of respiratory illness, or any other significant medical conditions?
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Allergies:
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Child's doctor and office number
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I certify that the above named student has my permission to participate in the Milwaukee Yacht Club Sailing School program. I authorize the Directors of the Sailing School or the General Manager of the Milwaukee Yacht Club to act for me according to his/her best judgment in any emergency requiring medical attention. I hereby waive and release the Milwaukee Yacht Club; it’s agents and employees, and the Milwaukee Yacht Club Foundation from liability for injury. I know of no medical or physical problems with my child’s ability to safely participate in the Milwaukee Yacht Club’s Sailing School program. By typing my name in the space below, I agree with the above statement:
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