ROC City Sailing On-Line Registration Form
ROC City Sailing Inc.
2050 Bay Shore Boulevard, Rochester NY 14622
Contact us at (585) 210-3225 or

Please complete and submit one form per participant.  Roc City Sailing will follow up to make final arrangements.
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Email *
First Name of Participant *
Last Name of Participant *
Birth Date of Participant *
Name of Parent / Guardian if Participant is under 18 years of age
Home Mailing Address *
Phone Number *
Emergency Contact Name, Phone Number and relationship to Participant *
Is the Participant an age 8 to 17 student of a Rochester City District School? *
What is the participant's level of sailing experience? *
What is the participant's level of swimming experience? *
What class(es) are you registering for? *
If you are purchasing a GIFT CERTIFICATE what name(s) do you want on the certificate?
LIABILITY WAIVER:  In consideration of being allowed to participate in the Roc City Sailing (RCS) activities, events, and services, I, the undersigned, acknowledge, appreciate, and agree via the checkboxes below that: *
HEALTH AND SAFETY PRE-SCREENING FORM [use this link for a copy of the form] ... *
Please confirm which method you used to complete payment [please go to the RCS Website  "Pay for Lessons" page to complete payment] ... *
How did you find out about ROC City Sailing? *
Any comments or questions you want to add?
A copy of your responses will be emailed to the address you provided.
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